一线三甲医院汶川地震256例颅脑外伤救治分析

英文篇名：Discussion of the Treatment of 256 Cases of Craniocerebral Injury by Earthquake in a Frontier Third-class First-grade Hospital
中文刊名：中国循证医学杂志
英文刊名：Chinese Journal of Evidence-Based Medicine
作者：彭涛 ; 徐宏 ; 巫奇 ; 周增俊 ; 曾义 ; 游潮
英文作者：PENG Tao1 ; XU Hong1 ; WU Qi1 ; ZHOU Zeng-jun1 ; ZENG Yi1 ; 2 ; YOU Chao2 1. Department of Neurosurgery ; People’s Hospital of Deyang City ; Deyang 618000 ; China ; 2. Department of Neurosurgery ; West China Hospital ; Sichuan University ; Chengdu 610041 ; China
中文关键词：地震伤 ; 颅脑损伤 ; 治疗
英文关键词：Earthquake injury ; Craniocerebral injury ; Classification and treatment
出版日期：2009-02-25
机构：德阳市人民医院;四川大学华西医院神经外科;
年：2009
期：02
出版单位：中国循证医学杂志

摘要

目的探讨地震所致颅脑损伤的救治方法,以降低其病死率和伤残率,提高生存质量。方法回顾性分析我院收治汶川地震256例颅脑损伤住院病例的资料。结果我们对地震颅脑损伤病人实施"分类救治"原则,进行手术及非手术积极治疗,2月后采用GOS评价:治愈146例、中残68例、重残24例、植物样状态0例、死亡8例,病死率3.13%。结论通过"分类救治"等有效措施治疗,合理安排医疗资源,能够最大限度地抢救生命,降低病死率。
Objective To discuss the treatment of craniocerebral injuries caused by earthquake. Methods Retrospective analysis of clinical information for 256 patients with craniocerebral injury caused by an earthquake. Results The ‘Classification and Treatment’ was applied to the patients, whether or not they were operated on. A total of 146 patients were cured, 68 improved, 24 remained dependent on the care of others, and 8 died. The mortality rate was 3.13%. Conclusion Applying the ‘Classification and Treatment’ to patients with craniocerebral injury following an earthquake supported the use of medical resources and was associated with a low rate of death and disability.

引文

1徐佩卿.地震伤亡分析.中华医院管理,1994,10(5):311.
    2陈君松.阪神大地震的教训.国外医学医院管理分册,1991,5(14):38.
    3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.中华神经外科杂志,2001,17(3):133-134.
    4张英泽,邵新中,孔志刚,等.张北县地震伤情调查与分析.河北医科大学学报,1998,19(3):141-142.
    5彭幼清.急诊分拣进展.国外医学护理学分册.1999,16(3):97-99.
    6石利国.创伤救治新进展.哈尔滨医药,2008,28(2):53-54.
    7Emami MJ,Tavakoli AR,Alemzadeh H,etc.Strategies in evaluation and management of Bam earthquake victims.Prehosp Disaster Med,2005,20(5):327-330.
    8孙志刚,李宏立.地震伤员分类的方法和原则.灾害学,2001,16(1):61-64.
    9孙志扬,刘中民,刘建军,等.重型颅脑外伤合并多发伤的救治.中华急诊医学杂志,2005,14(2):112-123.