急性重型颅脑损伤实行院内质控降低病死率探讨

目的探讨急性重型颅脑损伤后救治水平与时间因素关系。方法应用PERT技术对需手术治疗的367例重型病例实施术前时间监控,有效缩短术前时间。结果367例患者中,良好145例(39.5%),中残60例(16.4%),重残13例(3.5%),植物生存10例(2.7%),死亡131例(35.7%),自动出院8例(2.2%)。结论对急性重型颅脑损伤实施术前时间监控形成规范化管理制度,缩短术前时间(最好1h以内),可降低病死率和病残率,提高患者生存质量。

Degrade the Mortality Rate of Acute Gravis Type Craniocerebral Injury by Hospital Onself Quality Control

Objective To investigate the relationship between the time factors and the remedy level for acute gravis type craniocerebral injury patients.Methods Among 367 operation cases,the preoperative time monitoring were practiced.Results Among 367 operation cases,145 cases were recovery,60 cases were medium disability,13 cases were severe handicap,10 cases were plant man,131 cases were death,8 cases self-acting discharge.Conclusions The preoperative time monitoring for acute gravis type craniocerebral injury patients and formed normalizationed standardized management institution to decurtate the preoperativ time is effective.it can elevate operation therapeutic effect,elevate subsistence quality and degrade the mortality rate and disability rate.