沿海城市交通性重型颅脑损伤的特点及诊治规范

目的研究沿海开放县级卫星城市的重型交通性颅脑损伤（GCS≤8分）的特点及诊治规范。方法利用统计学原理分析1992—2005年间1266例重型（GCS≤8分）交通性颅脑损伤的致伤原因、类型、救治过程及效果进行总结。结果（1）摩托车事故占交通肇事的53．21％，为主要车型。酒后驾车仍为交通肇事的高危因素，占45．56％。（2）复合伤以胸、腹部损伤为主，占54．51％，四肢外伤其次。（3）院前行气管插管是后继抢救成功的关键。结论颅脑损伤是可以通过有效的干预措施加以预防；规范化治疗可以提高救治率和减少致残率。

The Characteristic and Criterion of Diagnosis and Treatment of the Heavy Transportation Brain Injury in Coastal City

Objective To study the characteristic and the diagnosis and treatment criterion of heavy transportation brain injury（GCS≤8） in coastal open county level satellite town. Methods Analyzes and summary the reason,type,treat process and the treat effect of 1,266 heavy （ GCS ≤ 8）transportation brain injury cases from 1992 to 2005 using statistics principle. Results（ 1 ）The motorcycle accident accounts for 53.21% which was the main vehicle type. （2）In compound wound the chest and abdomen injury were primary,accounts for 54.51%,the four limbs flesh jury next. （3）Endotracheal intubation before admission to hospital is the key successor of successfu rescues. Conclusion Brain injury can be prevented through the effective intervention measure. The standardized treatment may enhance and curing rate and reduced crippling rate.