车祸致重度颅脑外伤的急诊救治方法及效果分析

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【摘要】目的：分析车祸致重度颅脑外伤的急诊救治方法及效果。方法：选取2019年1月—2020年1月50例医院收治车祸致重度颅脑外伤患者的临床资料进行回顾性分析，对入选患者急救措施以及临床疗效进行统计，并比较患者治疗前后神经功能缺失程度、生活能力的变化。结果：①50例患者入院抢救成功46例，存活率为92.0%，随访1年采用GOS评分评价46例存活患者预后良好36例，中度残疾8例，重度残疾2例；入院后抢救无效死亡4例，死亡率为8%；②本次研究患者治疗前后NIHSS评分分别为（22.3±5.6）分和（16.8±4.2）分，ADL评分分别为（30.4±4.5）分和（55.4±6.5）分，本组患者治疗前后NIHSS评分、ADL评分的比较差异有意义（P

【关键词】车祸；重度颅脑外伤；急诊救治措施

Emergency treatment methods and effect analysis of severe craniocerebral trauma caused by car accident

LI Yu

Chengdu Third People’s Hospital， Chengdu， Sichuan 610000， China

【Abstract】Objective： To analyze the emergency treatment methods and effects of severe craniocerebral trauma caused by traffic accidents. Methods： From January 2019 to January 2020， the clinical data of 50 patients with severe craniocerebral trauma caused by traffic accidents in the hospital were selected for retrospective analysis， the first aid measures and clinical efficacy of the selected patients were counted， and the neurological deficits before and after treatment were compared. degree and changes in living capacity. Results： ① 46 of the 50 patients were successfully admitted to hospital， and the survival rate was 92.0%. The GOS score was used to evaluate the 1-year follow-up of the 46 surviving patients. 36 patients had good prognosis， 8 patients were moderately disabled， and 2 patients were severely disabled； 4 patients died after being admitted to the hospital. ②In this study， the NIHSS scores before and after treatment were （22.3±5.6） and （16.8±4.2）， and the ADL scores were （30.4±4.5） and （55.4±6.5） respectively. There were significant differences in the NIHSS score and ADL score before and after treatment in this group of patients（P

【Key Words】Car accident； Severe head trauma； Emergency treatment measures

近些年来随着人们经济水平的提升以及交通网络越来越完善，汽车成为人们出行的重要工具，但与此同时车祸的发生率也不断升高，车祸致重度颅脑外伤患者数量不断增长[1-3]。（剩余4527字）