地震颅脑伤201例救治分析
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摘要
目的回顾性分析"5.12"汶川地震中颅脑损伤病人的具体伤情、救治过程与效果,以总结经验,为在突发事件中救治大批量颅脑损伤病人提供参考。方法对我院收治的201例颅脑损伤病人的临床资料进行回顾性分析。结果201例颅脑损伤病人,占我院收治地震伤员的18.32%,手术34例,占病人总数的21.40%,非手术167例,占病人总数的79.60%,一月后G1OS评价,治愈104人,好转68人,无效24人,死亡5人。治愈率51.74%、好转率33.83%、死亡率2.49%。结论受伤机制、部位、有无多发伤、伤情程度、救治时间、救治措施、康复手段是影响伤员治疗预后的重要因素。
Objective To summarize the experiences in rescuing mass cases of craniocerebral would in Wenchuan Earthquake.Methods A retrospective analysis was made to the clinical data of 201 admitted cases with craniocerebral wound in Wenchuan Earthquake,including there wound condition,treatment measures and rehabilitation.Results 201 cases with craniocerebral wound took up 18.32% of all the wounded cases admitted,34 cases received operation,taking up 21.40% of the all;non-operated cases took up 79.60%;GOS made 1 month after treatment showed out 104 cases recovered,68 cases improved,24 cases ineffective and 5 deaths;the curative rate was 51.74%,the improvement rate was 33.83% and the death rate was 2.49%.Conclusions The important factors on the prognosis include the mechanism of injury,the injury location,the complication of multiple injury,the severity of the injury,the time for rescue,the treatment measures and the rehabilitation measures.
Objective To summarize the experiences in rescuing mass cases of craniocerebral would in Wenchuan Earthquake.Methods A retrospective analysis was made to the clinical data of 201 admitted cases with craniocerebral wound in Wenchuan Earthquake,including there wound condition,treatment measures and rehabilitation.Results 201 cases with craniocerebral wound took up 18.32% of all the wounded cases admitted,34 cases received operation,taking up 21.40% of the all;non-operated cases took up 79.60%;GOS made 1 month after treatment showed out 104 cases recovered,68 cases improved,24 cases ineffective and 5 deaths;the curative rate was 51.74%,the improvement rate was 33.83% and the death rate was 2.49%.Conclusions The important factors on the prognosis include the mechanism of injury,the injury location,the complication of multiple injury,the severity of the injury,the time for rescue,the treatment measures and the rehabilitation measures.
引文
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[2]张国斌.地震灾害后颅脑创伤的救治[J].中国现代神经疾病杂志,2008,8(3):273.
[3]徐佩卿.地震伤亡分析[J].中华医院管理,1994,10(5):311.
[4]王忠诚,赵元立.加强颅脑外伤临床基础研究提倡规范化治疗[J].中华神经外科杂志,2001,17(3):133~134.
[5]彭幼清.急诊分拣进展[J].国外医学护理学分册,1999,16(3):97~99.
[6]张英泽,邵新中,孔志刚,等.张北县地震伤情调查与分析[J].河北医科大学学报,1998,19(3):141~142.
[7]石利国.创伤救治新进展[J].哈尔滨医药,2008,28(2):53~54.
[8]Emami MJ,Tavakoli AR,Alemzadeh H,etc.Strategies in evaluationand management of Bam earthquake victims[J].Prehosp DisasterMed,2005,20(5):327~30.
[9]孙志刚,李宏立.地震伤员分类的方法和原则[J].灾害学,2001,16(1):61~64.
[10]孙志扬,刘中民,刘建军,等.重型颅脑外伤合并多发伤的救治[J].中华急诊医学杂志,2005,14(2):112~123.
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