重型颅脑外伤“绿色通道”急救流程的探讨

Green channel of emergency procedures for patients with severe craniocerebral trauma

目的探讨建立符合急救时效性原则的重型颅脑外伤"绿色通道"急救流程。方法回顾2009年执行"绿色通道"急救流程收治31例重型颅脑损伤与2008年未执行"绿色通道"流程收治的34例患者相关资料。结果执行"绿色通道"急救流程明显缩短病人急诊时间段,28 d生存率比较有显著差异。结论制定和执行重型颅脑外伤患者"绿色通道"救治急救流程有其优越性和必要性。

Objective To explore the feasibility to create emergency procedure in accordance with time efficiency of first aid for patients with severe craniocerebral injury. Methods According to the principle of time efficiency of first aid, we standardized the 24-hour emergency procedures for the patients with severe sraniocerebral trauma, and establish the clinical methods and targets. The treatment conditions of the patients using new procedures and the patients using old procedures were compared. Result The implementation of this ＂new procedures＂ made the emergency time shorten obviously and the cases of missed diagnosis reduced obviously; shock recovery time, transfusion costs during operation, the cost and time in ICU, the success rate of emergency treatment within 24 hours and 28-day survival rate were different significantly between two groups. But the probability of pulmonary infection in ICU was not significantly different. Conclusion The establishment of the first 24-hour emergency procedures as Green Channel for the patients with severe craniocerebral injury is profitable and necessary.