【www.zhangdahai.com--公司简介】
【摘要】 目的 为重型颅脑损伤患者提供高效快捷合理的救治方法。方法 分析86例重型颅脑损伤病例救治、转运过程,开辟绿色通道,为神经外科专业救治争取时间。结果 本组86例患者均入院行头颅CT检查并转入神经外科治疗,因重度颅脑损伤死亡31例,病死率为36.05%。结论 现场及院前急救对挽救生命、阻止病情恶化,降低死残率十分关键,并为院内救治奠定了基础。
【关键词】 重型颅脑损伤;急救;体会
86 cases of severe craniocerebral injury first-aid method and experience
JIANG Cheng-yao,WANG Yu-lan,LIU Cai-feng,et al.General Hospital of Daqing Oilfield,Heilongjiang province Daqing 163001,China
【Abstract】 Objective To provide efficient patient with severe head injury fast and reasonable treatment approach.Results The group of 86 patients were hospitalized and given head CT examination and transferred to the neurosurgical treatment,death due to severe head injury in 31 cases,case fatality rate of 36.05%.Conclusion Field and pre-hospital first aid in saving lives,preventing disease progression,reduce the rate of death is critical residue,and laid the foundation for the hospital for treatment.
【Key words】 Serious craniocerebral injury;Emergency treatment;Experience
作者单位:163001黑龙江省大庆油田总医院
随着院前急救事业在我国的发展,高效快捷合理地为患者提供急救服务是需要医生讨论的问题。重型颅脑损伤多伤情重,病情复杂多变且涉及多个专科。因此主动、及时有效的早期复苏急救,去除继发性损伤的因素是提高抢救成功率,保存生命,降低死残率的关键。现就本院2007~2009年救治重型颅脑损伤患者86例报告如下。
1 临床资料
本组86例患者,男54例,女32例,年龄12~75岁。闭合伤31例,占36.%;开放伤55例,占64%。③颅外并发伤62例,其中伴头面部撕裂伤12例,四肢骨折38例,骨盆骨折8例,肝脾挫裂伤6例,肋骨骨折伴血气胸6例。GCS评分3~5分的34例,占39.5%,6~8分的52例,占60.5%。⑤血压
