車禍致重度顱腦外傷的急診救治方法及效果分析

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【摘要】目的：分析車禍致重度顱腦外傷的急診救治方法及效果。方法：選取2019年1月—2020年1月50例醫(yī)院收治車禍致重度顱腦外傷患者的臨床資料進(jìn)行回顧性分析，對(duì)入選患者急救措施以及臨床療效進(jìn)行統(tǒng)計(jì)，并比較患者治療前后神經(jīng)功能缺失程度、生活能力的變化。結(jié)果：①50例患者入院搶救成功46例，存活率為92.0%，隨訪1年采用GOS評(píng)分評(píng)價(jià)46例存活患者預(yù)后良好36例，中度殘疾8例，重度殘疾2例；入院后搶救無(wú)效死亡4例，死亡率為8%；②本次研究患者治療前后NIHSS評(píng)分分別為（22.3±5.6）分和（16.8±4.2）分，ADL評(píng)分分別為（30.4±4.5）分和（55.4±6.5）分，本組患者治療前后NIHSS評(píng)分、ADL評(píng)分的比較差異有意義（P

【關(guān)鍵詞】車禍；重度顱腦外傷；急診救治措施

Emergency treatment methods and effect analysis of severe craniocerebral trauma caused by car accident

LI Yu

Chengdu Third People’s Hospital， Chengdu， Sichuan 610000， China

【Abstract】Objective： To analyze the emergency treatment methods and effects of severe craniocerebral trauma caused by traffic accidents. Methods： From January 2019 to January 2020， the clinical data of 50 patients with severe craniocerebral trauma caused by traffic accidents in the hospital were selected for retrospective analysis， the first aid measures and clinical efficacy of the selected patients were counted， and the neurological deficits before and after treatment were compared. degree and changes in living capacity. Results： ① 46 of the 50 patients were successfully admitted to hospital， and the survival rate was 92.0%. The GOS score was used to evaluate the 1-year follow-up of the 46 surviving patients. 36 patients had good prognosis， 8 patients were moderately disabled， and 2 patients were severely disabled； 4 patients died after being admitted to the hospital. ②In this study， the NIHSS scores before and after treatment were （22.3±5.6） and （16.8±4.2）， and the ADL scores were （30.4±4.5） and （55.4±6.5） respectively. There were significant differences in the NIHSS score and ADL score before and after treatment in this group of patients（P

【Key Words】Car accident； Severe head trauma； Emergency treatment measures

近些年來(lái)隨著人們經(jīng)濟(jì)水平的提升以及交通網(wǎng)絡(luò)越來(lái)越完善，汽車成為人們出行的重要工具，但與此同時(shí)車禍的發(fā)生率也不斷升高，車禍致重度顱腦外傷患者數(shù)量不斷增長(zhǎng)[1-3]。（剩余4527字）