交通事故致特重型颅脑损伤患者的救治分析.docVIP

交通事故致特重型颅脑损伤患者的救治分析 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：交通事故致特重型颅脑损伤患者的救治分析 1 1 一般资料 2 2 颅脑伤情及合并伤 3 3 救治原则和措施 3 4 统计学处理 4 1 伤情特点 4 2 重视院前急救 5 3 死亡原因 5 4 预后 6 文2：2例破伤风患者的救治分析 6 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 10 正文 交通事故致特重型颅脑损伤患者的救治分析 文1：交通事故致特重型颅脑损伤患者的救治分析 Abstract： Objective To discuss the characteristics of extrasevere traumatic brain injury(TBI) caused by traffic accident and enhance the treatment Totally 76 cases of extrasevere TBI caused by traffic accident admitted in our hospital from to were analyzed,including 24 cases occurred on highway and 52 cases on common road,and the outcome was compared between these two The mortality rate of the highway group was 50%(12/24).According to the Glasgow Outcome Score (GOS) scoring system,there were 3 cases (%) with no disability,2(%) with mild disability,4(%) with severe disability and 3(%) with peistent vegetative mortality rate of the common road group was 75%(39/52).There were 6 cases (%) with no disability,4(%) with mild disability,2(%) with severe disability and 1(%) with peistent vegetative Mostly the trauma patients in highway group are male delivering time is longer than that in common road proportion of multiinjury and the occurring rate of shock are higher than those in the highway with 3 points by GCS score system are extremely difficult to patients in the highway group are positively treated,it could get similar survival results as the cases in the common road group. Key words:brain injury;traffic injury;emergent treatment 颅脑损伤流行病学调查显示：华东地区约%的颅脑损伤由交通事故引起。在重型颅脑损伤中，由交通事故导致的占%[1]。而特重型颅脑损伤[2][格拉斯哥昏迷评分(GCS)3～5分]患者病情更加危重，病情变化快，病死率高，是救治的重点和难点[3]。本文对我院2001年6月～2008年5月经综合治疗资料完整的76例由交通事故导致的特重型颅损伤患者进行分析，并对高速公路和普通公路引起的特重型颅脑损伤患者进行对比分析，探讨其伤情特点，以提高救治水平。 临床资料 1 一般资料 本组76例，高速公路组24例，男性20例，女性4例;年龄19～55岁,平均岁。伤后至入院时间10～52分钟,平均分钟。普通公路组52例，男性31例，女性21例;年龄18～78岁,平均岁。伤后至入院时间5～32分钟,平均分钟。致伤原因：普通公路组52例，行人与机动车事故28例，与自行车有关事故20例，摩托车事故3例，车内人员甩出受伤1例;高速公路组24例，行人与机动车碰撞事故3例，机动车事故致车内人员受伤21例。格