摘要
目的论证绿色通道在抢救中重度颅脑损伤，降低病死率中的作用。方法回顾性分析176例通过绿色通道抢救的中重度颅脑损伤患者，分析现场救援、早期治疗、早期手术对急性中重度颅脑损伤预后的相关性及影响。结果在绿色通道救治的患者中恢复良好76例（43．2％），中残46例（26．1％），重残21例（11．9％），植物生存9例（5．1％），死亡24例（13．6％）。早期治疗（≤1h）、早期手术（≤2h）组预后明显好于对照组（P〈0．05）。结论绿色通道在抢救中重度颅脑损伤的患者中，对缩短救治时间、提高治愈率、减少并发症、降低病死率有重要作用。
Objective To explore the efficacy of first aid green track in rescuing the patients with acute moderate or severe craniocerebral trauma. Methods The clinical data of 176 patients with acute severe craniocerebral trauma who underwent emergency treatment through green track, including pre-hospital emergency, early treatment, and early surgery were retrospectively analyzed. The Glasgow Outcome Scale （GOS） was used to evaluate the prognosis. Results 76 patients （43.2%） recovered well, 46 patients （26.1%） suffered from moderate disability, 21 patients （11.9%） still showed severe disability, 9 patients （5.1%） lived in vegetative state, and 24 patients （13.6%） died. The prognosis was significantly better among the patients who received treatment ≤1 h after the onset of disease and those who underwent surgery ≤2 h after the onset of disease in comparison with those who received treatment ≤1 h and those who underwent surgery ≤2 h after the onset of disease （both P〈 0.05）. Conclusion Timely and effective pre-hospital emergency, early treatment and early surgery improve the survival rate of the patients with acute medium or severe craniocerebral trauma.
出处
《中国急救复苏与灾害医学杂志》
2012年第6期511-513,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
绿色通道
颅脑损伤
现场救援
早期治疗
早期手术
Craniocerebral trauma
Green track
Pre-hospital emergency
Early treatment
Earlysurgery.
