98例重型颅脑外伤合并多发伤的院前急救分析

目的探讨如何提高重型颅脑损伤合并多发伤整体救治水平。方法对我院2003年1月至2007年12月救治的98例重型颅脑损伤合并多发伤患者进行回顾性分析。结果在本组98例重型颅脑外伤合并多发伤患者中存活71例，死亡27例（27．6％）。死亡组的病人GCS评分及ISS评分均低于存活组的病人（P〈0．05），合并器官损伤的数量多于存活组（P〈0．05），受伤到院前急救时间及受伤到手术时间均长于存活组（P〈O．05）。结论重型颅脑损伤合并多发伤成功救治的关键是重视事发现场与院前的急救，缩短患者受伤到急诊科救治的时间、缩短急诊确诊时间、及时通过绿色通道进行手术治疗。

Analysis of pre-hospital emergency of 98 cases with severe craniocerebral trauma with multiple injuries

Objective To researh how to raise the level of cure with severe craniocerebral trauma associated with multiple injuries. Methods Frome January 2003 to December 2007,98 cases with severe craniocerebral trauma assosiated with multiple injuries were analyzed retrospectively. Results Among the 98 cases with severe craniocerebral trauma assosiated with multiple injuries were survival in 71 cases (72.4% ).According to GCS score and ISS score criferia .The death group was less than that survival group (P<0.05). In...