摘要
目的总结基层医院颅脑损伤的救治经验,提高其救治的成功率。方法回顾性分析神经外科收治的276例颅脑损伤患者的临床资料。观察存活患者和死亡患者入院时格拉斯哥昏迷评分法(GCS)评分、发生休克人数、受伤至入院时间、受伤距手术时间、白细胞计数和血糖升高人数等项目。结果患者存活215例(77.9%),其中恢复良好132例,中残46例,重残29例,植物生存8例;死亡61例(22.1%)。死亡组患者入院时GCS评分低于存活组患者,休克人数多于存活组,受伤至入院时间和受伤距手术时间较存活组多,白细胞计数和血糖升高人数比存活组多(P<0.001)。结论基层医院应充分发挥急救中心的作用,规范和优化颅脑损伤的救治模式,不断提高颅脑损伤救治成功率,最大限度地保障颅脑损伤患者的生命和生存质量。
Objective To summarize the treatment experience of craniocerebral injury in primary hospital, improve the successful rate of treatment.Methods The clinical data of 276 cases with craniocerebral injury admitted to neurosurgery department were analyzed retrospectively.Then, the Glasgow Coma Scale（GCS）scores, the number of shock patients, time from injury to hospitalization, time from injury to operation, the number of leukocyte,and the number of patients with increasing blood glucose in the survival group and the death group were observed.Results 215 patients survived （77.9%） ,among which 132 cases recovered very well, 46 cases suffered moderate disability, 29 cases suffered severe disability and 8 cases were in vegetative state.61 cases died（22.1 % ）. The the death group got lower admission GCS score than the survival group and had more shock cases.Their time from injury to hospitalization and time from injury to operation were longer than those of the survival group.They had more leukocyte number and patients with increasing blood glucose （ P 〈0. 001）.Conclusion Primary hospitals should give full play to the role of first aid center,regulate and optimize the treatment mode of craniocerebral injury so as to improve the success rate of treatment, and maximize the protection of the lives and quality of life of patients with craniocerebral injury.
出处
《右江医学》
2014年第1期75-77,共3页
Chinese Youjiang Medical Journal
关键词
基层医院
颅脑损伤
治疗
primary hospital
craniocerebral injury~ treatment
