重型颅脑损伤病人的临床评估

Preliminary study of clinical scoring on prognosis of severe head injury

对６８例重型脑外伤患者的评分和预后评估进行分析，提出以重型脑外伤病人的血压、脉搏、呼吸、神智（ＧＣＳ）、瞳孔５项指标作为评估指数进行评分（简称重型脑外伤评估指数），总分为２５分，最低分５分。结果表明：评分在７分以下，持续２～４ｈ者，抢救意义不大；８～１３分，抢救４～６ｈ无效者，其死亡、残废率很高；计分在１４分以上者，有抢救意义，尤以１８分以上者。

In this article, 68 cases of severly head injured patients scoring and prognosis evaluation were reviewed. We have come to a practicable severe head injury index (SHII) for first aid: the blood presure (Bp), pulse rate (P), respiration rate (R), degree of consciousness and reaction of the pupils are five items taken for estimation of the patients. The highest total score was 25, the lowest was 5. If the score was lasted for 2～4 hours below 7, and first aid non responsive in 4～6 hours, the mortality and morbidity rates will be high. When the score is more than 14, the first aid salvage will be meaningful. The first aid salvage will be meaningful. The first aid had significant measing especially for those patients whose score was over 18. The detailed method of clinical scoring is shown on chart 2.