文章摘要
何永垣1 陈杰强1 谢锐滔1 郭志敏1 欧阳林1 张世忠2△ 林伟峰1 姚晨2.急诊绿色通道提高颅脑外伤患者救治效果的体会[J].,2012,12(24):4688-4691
急诊绿色通道提高颅脑外伤患者救治效果的体会
The Experience of Emergency Easy Access to Improve the TreatmentEffect of the Traumatic Brain Injury
  
DOI:
中文关键词: 颅脑外伤  硬膜外血肿  死亡率
英文关键词: Traumatic brain injury  Epidural hematoma  Mortality
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作者单位
何永垣1 陈杰强1 谢锐滔1 郭志敏1 欧阳林1 张世忠2△ 林伟峰1 姚晨2 广州市番禺中心医院神经外科 
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中文摘要:
      目的:评价建立急诊绿色通道对救治颅脑外伤患者的价值。方法:采用回顾性分析方法,收集我院2007 年1 月~2012 年1 月救治的颅脑外伤患者199 例,其中急诊绿色通道组111 例(A 组)和非急诊绿色通道组88 例(B 组)的救治情况进行比较,分析 两组救治的疗效、死亡率及预后。结果:199 例颅脑外伤患者中,绿色通道组(A 组) 111 例(55.78%),死亡26 例(23.42%),对照组 88 例(44.22%),死亡30 例(34.09%)。A 组的有效治疗时间较B 组明显缩短,差异有统计学意义(0.010.05)。结论:急诊绿色 通道可缩短颅脑外伤患者救治等待时间,改善中重型颅脑外伤患者的预后。
英文摘要:
      Objective: To evaluate the easy access system in emergency for the patients with brain injury. Methods: 199 cases with brain injury were analyzed retrospectively from January 2007 to January 2012. All patients were divided into the group (group A) with easy access system(n=111) and the group (group B) without easy access system(n=80). The outcomes of treatment effect, mortality and prognosis were retrospectively analyzed. Results: 56 of 199 cases were died (28%), whereas mortality of emergency easy access group and no emergency easy access group (control group) were respectively 23.42% (26/111) and 44.22%(30/ 88). Compared with group B, the effective therapeutic time at group A was significantly shorter (0.010.05). Conclusions: The easy access system in emergency for the patients with brain injury shortens waiting time for rescues and improves the prognosis of severe brain injury.
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