急诊医疗服务体系联合损伤控制手术救治脑部创伤临床研究

Clinical Study of Emergency Medical Service System Combined with Injury Control Surgery for Traumatic Brain Injury

目的探究急诊医疗服务体系(Emergency Medical Services System,EMSS)联合损伤控制外科技术(Damage Control Surgery,DCS)在救治脑部为主的严重多发伤中的临床效果。方法对192例以脑部创伤为主的严重多发伤患者进行包括院前120急救、院内急救、急诊控制外科手术及重症监护治疗的EMSS一体化救治。结果 192例患者中,存活162例,占84.38%,死亡30例,15.62%。结论脑部创伤为主的严重多发伤的患者应用EMSS联合损伤控制外科技术一体化救治,可以前移抢救平台,缩短抢救时间,降低死亡率。

Objective to explore the emergency medical service system(Emergency Medical Services System,EMSS)combined with damage control surgery(Damage Control,Surgery,DCS)clinical effect in the treatment of brain mainly in severe multiple trauma. Methods atotal of 192 patients with severe traumatic brain injury were treated by EMSS,including first aid,first aid,emergency control,surgery and intensive care,120 cases. Results of the 192 patients,162 survived,accounting for 84.38%,and 30 deaths,15.62%. Conclusion EMSS combined with injury control surgical technique can be used to rescue the patients with severe traumatic brain injury,which can shorten the rescue time and reduce the mortality.