重型颅脑损伤并多发伤100例临床救护疗效分析.docVIP

精品论文 参考文献 重型颅脑损伤并多发伤100例临床救护疗效分析 向旭平（四川达县人民医院急诊科 635000） 【摘要】目的 分析总结重型颅脑损伤并多发伤的临床救护疗效，为提高临床救治成功率提供基础资料供临床参考。方法　回顾性分析符合重型颅脑损伤并多发伤诊断的病例资料，并符合相关救治措施，如术前院前的急救与护理、手术以及术中术后救治措施，以格拉斯哥分级标准评价预后情况。结果　死亡率为23%，其治愈率为77%，按格拉斯哥预后评分判定结局良好为24例（24%），中残、重残分别为26%、16％，植物生存状态为11例。结论　颅脑损伤并多发伤的病情十分危及，抢救成功率低，死亡率高，制定合理的救治程序，如注重早期病情诊断，院前急救，院内救治，术后的综合防治等措施均能提高救治成功率，降低病残率和死亡率。 【关键词】　重型颅脑损伤 多发伤 临床救护 疗效 【中图分类号】R459.7 【文献标识码】A 【文章编号】2095-1752（2013）28-0157-02 100 cases of clinical ambulance efficacy analysis of Severe traumatic brain injury and multiple trauma Xiang-Xuping (The Peoples Hospital of Daxian, Emergency department Sichuan，Daxianu,Sichuan 635000,China) 【Abstract】 Objective Severe traumatic brain injury and multiple injuries clinical ambulance efficacy of, analyzed and summarized to provide basic information to improve the success rate of clinical treatment for clinical reference. Methods Retrospective analysis of the severe traumatic brain injury and multiple injury diagnosis of clinical data, and to comply with the relevant treatment measures, such as the front yard before the surgery first aid and care, surgery, and intraoperative and postoperative treatment measures, evaluation prognosis grading standards of Glasgow. Results The mortality rate was 23%, 77% cure rate, determine the outcome of the Glasgow Outcome Scale of 24 cases (24%), moderate disability, severe disability was 26%, 16% in persistent vegetative state for 11 cases. Conclusion Brain injury and multiple trauma condition endanger the very low success rate, high mortality, the development of rational treatment program, such as focus on early disease diagnosis, pre-hospital care, hospital treatment, and postoperative prevention and control measures can improve the treatment success rate and reduce morbidity and mortality. 【Key words】 Severe traumatic brain injury multiple trauma clinical efficacy 随着近年来生活节奏的加快，交通意外以及坠楼等事故居高不下，使得创伤发病率有增加趋势，并成为急诊科