摘要
目的 :探索提高重型颅脑损伤急诊室抢救水平的措施。方法 :回顾 2 87例重型颅脑损伤急诊室抢救的方法及效果 ,分析主要抢救措施的作用。结果 :2 87例中GCS 3～ 5分 1 2 2例 ,6～ 8分 1 65例 ;心跳呼吸停止 1 6例救活良好 1例 ,低氧血症 1 83例纠正 1 60例 ,休克 2 2例复苏 1 8例 ,脑疝 1 0 4例缓解 56例 ;急诊室死亡 31例 (1 0 .80 % ) ;伤后 1个月判定 ,良好 1 56例(54.35% ) ,恢复差 47例 (1 6.38% ) ,死亡 84例 (2 9.2 7% )。结论 :急诊室改进急诊程序 ,对低氧血症、休克、脑疝等采取相应抢救 ,能为重型颅脑损伤创造有利的后续治疗而改善其预后。
Purpose:To discuss the improvements of therapeutic methods of severe head injury(SHI) in emergency department.Method:Therapeutic methods of 287 cases of SHI were analyzed retrospectively.Result:There were 287 cases(122 cases with a score of 3 to 5 on GCS,165 cases with a score of 6 to 8).1 case survived in 16 cases with apnea or cardic arrest,160 cases had been cured in 183 with hypoxaemia,18 cases had a good recovery in 22 with shock,56 cases recovered in 104 with hernia cerebri,and 31 cases dead in emergency department(10.80%).Treatment efficacy was classified after a month , 156 cases had a good recovery ( 54.35% ) , 48 cases recovered badly ( 16.38% ) and 84 cases dead (29.27%).Conclusion:The improvements of emergency program in emergency department,and the corresponding rescue of hypoxaemia,shock and hernia cerebri will be useful for the subseqent treatment of SHI and the improvement of prognosis.
出处
《右江医学》
2001年第1期20-22,共3页
Chinese Youjiang Medical Journal
关键词
重型颅脑损伤
急诊室
急救
severe head injury
emergency department
rescue
