汶川大地震颅脑损伤的时空特点及救治策略  

Space-thne characteristic and therapeutic strategy of traumatic brain injury attributable to Chinese Wenchuan earthquake

作　　者：顾建文[1] 杨文涛[1] 程敬民[1] 屈延[1] 匡永勤[1] 杨涛[1] 黄海东[1] 杨立斌[1] 贺伟旗[1] 赵凯[1] 

机构地区：[1]成都军区总医院神经外科,610083

出　　处：《中华创伤杂志》2008年第9期760-762,共3页Chinese Journal of Trauma

摘　　要：目的分析汶川大地震颅脑外伤的时空特点、临床特点，探讨救治时机、治疗方式选择。方法对我科在2008年5月12日四川汶川8级特大地震中92例颅脑外伤伤员诊治进行总结分析。结果收治地震颅脑伤伤员92例，全部来源于成都西北部平原地区。其中震后早期12h内收治76例。开展手术10例，死亡3例。结论在汶川大批地震伤员早期颅脑外伤所占比例大，病情变化快。就诊伤员均来源于交通便利的平原地区。入院后早期开展急救手术治疗对提高地震颅脑伤的救治成功率有显著的效果。Objective To analyze the space-time characteristic of traumatic brain injury （TBI） caused by Chinese Wenchuan earthquake and discuss opportunity and mode of medical intervention. Methods A retrospoctive study was done on 92 patients with TBI admitted into our department during Chinese Wenchuan earthquake. Results All 92 patients came from champaign located at northwest of Chengdu. Of all, 76 patients were admitted within 12 hours after earthquake. Surgical operation was done on 10 patients, of whom 3 died. Conclusions In the early period after earthquake, TBI patients make a large proportion and have fast change of injury severity. All patients come from champaign with convenient transportation. For TBI patients, early emergent operation after admission can significantly elevate success rate of medical intervention.

关 键 词：自然灾害 地震 脑损伤 急救医疗服务 

分 类 号：R651.15[医药卫生—外科学]