汶川地震899例颅脑损伤伤情及救治分析

英文篇名：Analysis of injury and treatment of 899 cases of craniocerebral injuries in Wenchuan earthquake
中文刊名：重庆医学
英文刊名：Chongqing Medicine
作者：袁丹凤 ; 邱俊 ; 周继红 ; 张良
英文作者：YUAN Dan-feng ; QIU Jun ; ZHOU Ji-hong ; et al.(State Key Laboratory of Trauma ; Burns and Combined Injury ; Department 4 ; Research Institute of Surgery ; Daping Hospital ; Third Military Medical University.Chongqing 400042 ; China)
中文关键词：地震 ; 颅脑伤 ; 伤情
英文关键词：earthquake ; craniocerebral injury ; injury severity
出版日期：2010-12-30
机构：第三军医大学大坪医院野战外科研究所第四研究室/创伤烧伤与复合伤国家重点实验室;
年：2010
期：24
出版单位：重庆医学

摘要

目的探讨汶川地震住院患者颅脑伤伤情特点,为地震所致颅脑伤救治提供参考。方法利用《创伤数据库系统》V3.0软件系统对颅脑伤患者的病历资料进行汇总分析。结果颅脑伤患者899例。致伤原因以钝器伤为主。损伤部位以头皮为主(72.56%)。颅脑AIS评分1分者624例。合并其他部位损伤711例次,以胫骨骨折为主。手术治疗198例,以头皮清创缝合术最多。结论颅脑伤多以轻度损伤为主,可能是由于大批重症颅脑伤员现场死亡或因救治不及时死亡,应提高地震所致颅脑伤的早期救治水平和加强灾害的早期预防。
Objective Discuss the information of the craniocerebral injuries caused by earthquake,to provide reference for the treatments.Methods Use [trauma database system] Version3.0 software to analyses and sum up the data.Results Most of 899 cases are blunt force injury most position is scalp,72.56%.Use craniocerevral AIS score system to analysis the data,there are 624 cases get 1.There are 711 cases combined with other injury,most of them are injury from leg shin bone.198 cases have had surgical therapy,most of them are scalp debridement.Conclusion Most of the craniocerevral injuries are minor injuries.The deaths are caused by delayed treatment.So the early stage treatment level and the disaster preparedness level should be improved.

引文

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