重型颅脑损伤128例院前抢救分析.docVIP

重型颅脑损伤128例院前抢救分析 余坚勇 （广西柳州市柳州铁路中心医院，柳州市，545007） 【摘 要】目的 提高对重型颅脑外伤的院前抢救成功率。方法 回顾性分析128例重型颅脑损伤的院前抢救。结果128例患者中，安全转运返回医院117例（91.4%），途中死亡11例（8.6%）.。结论 正确的现场急救措施及合理的转运可为重型颅脑损伤患者后续治疗赢得机会和时间，是减少致残、致死率的关键。. 【关键词】重型颅脑外伤；院前抢救 Analyze of prehospital emergency with 128 cases in actue severe brain injury YU Jianyong, the Liutie Centre Hospital of Liuzhou, Liuzhou, Guangxi 545007, China [Abstract] Objective To inprove the success rate of the prehospital emergency treament of actue severe brain injury.Methods from January 2002 to December 2009,128 cases with acute severe brain injury were retrospectively analyzed with on-site treatment and transit treament .Results 117 patients were securely transported to treated in hospital,11 patients died in transit. Conclusion correct treat and timely prehospital emergency can save time for securely transported and the next treatment,inproving survival rate and reduce mortality. [Key words ] Severe traumatic brain injury;Prehospital emergency 近年来我国颅脑损伤发病率及死亡率逐年增高，如何提高重型颅脑损伤的抢救成功率始终是当今关注的热点，也是开展院前抢救的难点。120急救中心的成立要求将专业化抢救措施扩大前移至事故现场，伤员运送途中和医院急诊科的急救措施是减少致残、致死率的关键。现将我院2002年1月至2009年12月院前抢救重型颅脑外伤128例的临床资料进行总结分析，以提高对本病的抢救成功率。 资料和方法 1.1一般资料 本组重型颅脑外伤128例，男105例，女