摘要
目的 探讨颅脑损伤的院前与院内急救模式。 方法 本院急救中心院前急救4 311例颅脑损伤患者,直接送入脑外科抢救室,由专科医师分类按相应程序进行急救。 结果 轻型及中型 2 992例均治愈。重型 1 319例,在 24h内死亡 164例,其他 1 155例,按格拉斯哥预后评分(GOS)评定:恢复良好或中残 750例 ( 64. 94% ),重残 132例 ( 11. 43% ),植物生存 44例(3. 81% ),死亡 229例 (病死率 19. 83%,加 24h内死亡者病死率为 29. 80% )。 结论 急救中心院前急救,直接送入脑外科病房,专科医师接诊按急救程序检查、手术及术后ICU监护全程负责制有助于重型颅脑损伤的救治。
Objective To discuss the pattern of pre-hospital and in-hospital first aid of craniocerebral injury. Methods A retrospective study was carried out on 4 311 cases with craniocerebral injuries, who were directly sent into the emergency room of the department of neurosurgery, classified and cured by special doctors according to corresponding procedures. Results A total of 2 992 mildly and mediumly injured cases were cured. In 1 319 severely injured cases, 164 died within 24 hours and the other 1 155 were evaluated by GOS, showing that 750 got good recovery plus moderate disability (64.94%), 132 resulted in severe disability (11.43%), 44 in vegetation (3.81%) and 229 died (19.83%). The total fatality rate was 29.80%. Conclusions It is beneficial to cure of the severe craniocerebral injury by utilizing the following ways, ie, pre-hospital care, immediate sending into the wards, special diagnosis according to first aid procedures, operation and ICU.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2005年第2期125-127,共3页
Chinese Journal of Trauma
