《颅脑外伤院前管理指南第三版》解读  

Interpretation of Prehospital Guidelines for the Management of Traumatic Brain Injury-3rd Edition

作　　者：方舟 刘伯夫[1,2] 余海放 FANG Zhou;LIU Bofu;YU Haifang(Department of Emergency Medicine and Laboratory of Emergency Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Disaster Medical Center,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院急诊科/急诊医学研究室,成都610041 [2]四川大学灾难医学中心,成都610041

出　　处：《华西医学》2023年第11期1625-1631,共7页West China Medical Journal

基　　金：四川省科学技术厅科技培训项目(2023JDKP0036)。

摘　　要：严重颅脑外伤(traumatic brain injury,TBI)患者的死亡率较高,其常在伤后几个小时内死亡。创伤现场、转运途中及院内早期的管理与TBI患者结局密切相关,患者经不同院前救治后其最终救治成功率存在差异,TBI院前救治质量有待进一步提高。因此,TBI院前管理指南应运而生,该指南的第三版于2023年4月发布。为了提供对院前TBI救治的更好建议和指导,该文就第三版院前TBI管理指南更新要点进行解读。Patients with severe traumatic brain injury(TBI)have a higher mortality rate,often dying within a few hours after injury.The management of trauma site,transportation,and early hospital stay is closely related to the outcome of TBI patients.The final success rate of TBI patients varies after different prehospital treatments,and the quality of prehospital treatment for TBI needs to be further improved.Therefore,the TBI prehospital management guideline emerged,and the third version of the guideline was released in April 2023.In order to provide better advice and guidance on the treatment of prehospital TBI,this article interprets the key points of updating the third edition of the prehospital TBI management guideline.

关 键 词：颅脑外伤 院前管理 院前评估 院前治疗 院前决策 

分 类 号：R651.15[医药卫生—外科学]