煤矿井下颅脑损伤的院前急救体会

The Experience of Prehospital Aid for Craniocerebral Injury Patients in Coal Mine under The Shaft

目的回顾总结煤矿井下现场抢救急性重型颅脑损伤患者36例的体会,分析和探讨如何正确判断伤情和应用合理的急救措施等问题。方法对1999年2月至2009年3月36例煤矿井下急性重型颅脑损伤患者采取迅速而规范的院前急救措施,正确地判断伤情,保持呼吸道通畅,防止窒息和脑缺氧。维持循环,防止低血压事件。迅速解除颅脑受压症状,规范院前转运措施。结果治愈及好转34例,死亡2例。结论煤矿井下急性重型颅脑损伤院前急救,由于煤矿井下生产条件特殊,迅速而规范的院前急救对提高重型颅脑损伤患者的治愈率、降低病死率、改善预后具有重要意义。

objectives TO summarize the experience of prehospital aid for severely craniocerebral injury patients in coal mine under the shaft.To analyse and explore how to estimate the state of the injury accurately and give the right emergency treatment.Method From the February of 1999 to the March of 2009,giving the severely craniocerebral injury patients in coal mine under the shaft rapid and normative prehospital aid,estimating the state of the injury accurately, keeping respiratory tract unobstructed to avoiding asphyxia and cerebral anoxia, keeping the circulation well to avoid hypotension,relieving the intracranial hypertension sign and normalizing the precautionary measures while transshipping in the coal mine. Results There are 34 patients being cured or taking a change for the better, and two patients dead. Conclusion Because the condition of production is special, rapid and normative prehospital aid is significant to raise the cure rate,lower the death rate,and improve the prognosis.