急诊一体化运转模式对抢救重型颅脑外伤的意义

The significance of integrated emergency operation mode in rescuing the severe brain injury

目的:探讨急诊一体化运转模式在抢救重型颅脑外伤患者中的意义。方法:对比实施急诊一体化运转模式前后2年里重型颅脑外伤患者在急诊科的急救应对时间及手术的疗效情况。结果:实施急救一体化运转模式后,在抢救重型颅脑外伤患者的急诊室处理时间、特殊检查处理时间、送达手术室时间、入院至送达手术室时间均较实施前明显缩短,一体化后患者从入院至手术时间为(43.7±10.3)min,较一体化前(55.9±11.5)min明显缩短(P<0.05);急救一体化前后重型颅脑外伤患者手术疗效中死亡率分别为16.7%和4.4%,比较差异有统计学意义(P<0.05)。结论:急救一体化运转模式能有效缩短重型颅脑外伤诊断时间,缩小了患者的救治空间,提高患者恢复程度,降低伤死率;制定重型颅脑外伤患者的急救一体化运转模式细则及执行该急救流程意义重大。

Objective： To explore the significance of the integrated emergency operation mode in rescuing the severe brain injury. Methods：Compare the emergency response time and the efficacy of surgery on patients with severe brain injury before and after the implement of the integrated emergency operation mode in two years. Results： The time for emergency room treatment,special examination and management,delivering to operating room,and the time from admission to operating room in rescuing the patients with severe brain injury after the application of the mode were significantly shorter than those before the integration. The time from admission to operating room（ min） after the integration was 43. 7 ± 10. 3,which was significantly shorter than 55. 9 ± 11. 5 before that（ P〈0. 05）. The mortality rates of the patients with severe brain injury in surgical effects were 16. 6 % and 4. 4 % respectively before and after the integrated emergency,with the difference statistically significant（ P〈0. 05）.Conclusion： The integrated emergency operation mode can effectively shorten the diagnosis time of severe brain injury,reduce the patients＇ treatment space and improve the patients＇ recovery level,lowering the rate of injury and death. It＇s significant to implement the integrated emergency operation mode while details of the mode will be required to formulate in patients with severe brain injury.