院前创伤团队启动模式对颅脑损伤为主的多发伤救治探讨  

Discussion on the Treatment of Multiple Injuries Mainly Caused by Craniocerebral Injury in Pre-Hospital Trauma Team Initiation Mode

作　　者：蓝洲 曹明淦 李波霖[2] 李兵 颜宁钟 冯思华[2] 甘仁 

机构地区：[1]广西中医药大学第一附属医院仙葫院区急诊科,广西南宁530200 [2]广西中医药大学第一附属医院仙葫院区,广西南宁530200

出　　处：《大众科技》2020年第9期88-90,共3页Popular Science & Technology

摘　　要：目的:探讨院前创伤团队启动(TTA)模式对颅脑损伤为主的多发伤患者救治效果。方法:回顾分析2019年8月至2020年1月广西中医药大学第一附属医院仙葫院区收治的84例以颅脑损伤为主的多发伤患者,TTA模式启功前的42例为非TTA组,TTA模式启功后的42例为TTA组,对比分析两组患者的性别、受伤机制、年龄、ISS评分、急诊滞留时间、死亡率、住院天数。结果:两组患者性别、年龄、ISS评分无显著差异,TTA组较非TTA组的急诊滞留时间明显缩短,患者送达手术室或专科的时间平均约减少30分钟,且住院时长与死亡率均显著低于非TTA组(P<0.05)。结论:TTA模式指导下的颅脑损伤为主的急诊多发伤患者救治模式,可以缩短患者的急诊滞留时间,提高后续治疗效果,降低患者的死亡率,减少住院天数,值得临床借鉴。Objective: To investigate the therapeutic effect of pre-hospital trauma team initiation(TTA) mode on patients with multiple injuries mainly caused by craniocerebral injury. Methods: From August 2019 to January 2020, 84 cases of multiple trauma patients with craniocerebral injury admitted to Xianhu Hospital District, the First Affiliated Hospital of Guangxi University of Traditional Chinese medicine, were retrospectively analyzed. The 42 cases before the start of TTA mode were the non TTA group, and the 42 cases after the start of TTA mode were the TTA group, compared two groups of patients’ age, gender, injury mechanism, ISS score, emergency stop time, mortality and hospitalization days. Results: There was no significant difference in gender, age or ISS score between the two groups. The emergency stay time of TTA group was significantly shorter than that of non TTA group, and the average time of patients arriving at operating room or specialty was reduced by about 30 minutes, and the length of hospital stay and mortality were significantly lower than those of non TTA group(P < 0.05). Conclusion: Under the guidance of TTA mode, the treatment mode for patients with multiple injuries mainly caused by craniocerebral injury can shorten the time of emergency stay, improve the follow-up treatment effect, reduce the mortality of patients,and reduce the length of hospital stay, which is worthy of clinical reference.

关 键 词：颅脑损伤 多发伤 创伤团队 急诊滞留时间 

分 类 号：R651[医药卫生—外科学]