摘要
目的总结汶川特大地震中颅脑外伤的临床类型及特点、救治经验。方法对5．12汶川特大地震中四川大学华西医院神经外科收治的182例伤员资料、流行病学、致伤原因、分类、伤情、救助时间、合并症、并发症、治疗和预后等进行分析。结果男102例，女80例，建筑物砸伤是最主要的致伤原因，其次为挤压伤；按GCS评分：轻型129例，占70．9％；中型32例，占17．6％。重型21例，占11．5％。伤口开放占68．7％；合并四肢及脊柱骨折占16．5％，伤口感染18例占7．4％，急性肾功衰竭3例（1．2％）。手术治疗者40例。出院或转科时GOS评估：5分121例（66．5％），4分38例（20．8％），3分或以下23例（9．7％），死亡5例，死亡率3．3％。结论重伤伤员院前抢救率低，院内以轻、中型颅脑创伤为主，合并症多，伤口感染率高；多学科联合早期、有序规范救治有重要意义。
Objective To study the clinical features of head injury after Wenchuan Earthquake. Method From May 12 to June 12, 182 patients of head injuries related to Wenchuan Earthquake were admitted in the department of neurosurgery in West China Hospital. The epidemiology, mechanism, severity, complications, treatments and outcome of head injury were retrospectively studied. Results In this series, 102 cases were men and 80 women. Dilapidated building was the most important reason for head injuries. 88.5% patients were mild or moderated trauma. Open scalp injury was found in 68. 7% cases. 46. 7% patients were admitted within 72 hours after the earthquake. The data revealed that limbs fracture was the most common complication（ 16. 5% ）. Only 40 patients received surgical treatment. The Glasgow Outcome Scale upon discharge or transfer were：5 for 121 cases （66. 5% ） ,4 for 38 cases（20. 8% ） ,3 or less for 23 cases, and 5 cases of death（3.3% ）. Conclusions The clinical features of head trauma patients after Wenchuan Earthquake included： low salvage treatment rate of severe cases before admission into hospital, high coalescent disease rate and high infective rate. Early standard treatment of multiple departments is important.
出处
《中华神经外科杂志》
CSCD
北大核心
2009年第11期970-972,共3页
Chinese Journal of Neurosurgery
关键词
颅脑损伤
地震
治疗
Craniocerebral trauma
Earthquake
Therapy
