急性重型颅脑伤并创伤性休克现场急救分析

An Analysis of Emergency Treatment of Acute Severe Craniocerebral Injury and Traumatic Shock at the Scene of Accident

目的探讨急性重型颅脑伤并创伤性休克的现场救治。方法回顾分析2004年5月至2011年9月,48例急性重型颅脑伤并创伤性休克的临床资料。结果死亡25例(死亡率52.08%),其中手术者死亡7例(死亡率31.82%),未手术者死亡18例(死亡率69.23%),手术者死亡率与未手术者死亡率比较有显著差异(P<0.01)。结论急性重型颅脑伤并创伤性休克的正确现场救治有助于阻止病情恶化并获得手术机会,降低死亡率。

Objective To discus the emergency treatment of acute severe craniocerebral injury and traumatic shock.Methods Data of 48 cases of acute severe craniocerebral injury and traumatic shock between May 2004 and September 2011 were analyzed retrospectively.Results 25 cases（25.08%） were dead,of which 7 cases（31.82%） of the operated patients were dead,8 cases（69.23%） of the nonoperated patients were dead.There was very significant difference in mortality of the operated patients compared with those non-operated（P〈0.01）.Conclusion The correct treatment of acute severe craniocerebral injury and traumatic shock at the scene of accident can prevent the deterioration of the disease of patients and is beneficial to secure the chance of operation and decrease the mortality.