急性酒精中毒合并重型颅脑损伤的院前急救

摘要

目的：探讨总结急性酒精中毒并重型颅脑损伤患者的院前急救措施，并分析临床治疗效果。方法2013年2月～2015年8月收住我院急诊科的急性酒精中毒合并重型颅脑损伤患者27例，回顾性分析其完整临床资料，总结院前急救措施，采用格拉斯哥预后评分（GOS）评价患者临床治疗效果。结果经积极抢救，27例患者恢复良好4例，中残8例，重残及植物生存状态各3例，死亡9例。结论对于急性酒精中毒合并重型颅脑损伤患者，院前积极采取有效抢救措施、缩短抢救时间，有助于改善患者预后。%Objective To investigate the measures of prehospital care in patients with acute alcoholism combined with severe craniocerebral injury,and the clinical outcomes was analyed. Methods 27 patients with acute alcoholism combined with severe craniocerebral injury were selected. Their clinical data were analyzed retrospectively,and summary of pre hospital care measures,then evaluated the clinical therapeutic effect with Glasgow Outcome Scale. Results 4 cases in good recovery,8 cases in moderate disability,3 cases in severe disability and vegetative state,respectively,9 cases died. Conclusion Taking effective measures to rescue in prehospital care can shorten the rescue time. It wil helpful to improve the prognosis of patients with acute alcoholism combined with severe craniocerebral injury.