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目的:探讨社区医院对脑外伤患者实施院前急救的方法。方法:选取2014年1月到2015年10月间我院急救并转送上级医院的66例脑外伤患者,均由社区医院安排专业医护人员赶到现场实施院前急救,包括观察意识状态、生命体征、瞳孔变化,建立有效呼吸道与静脉通道,处理外漏脑脊液,对症处理和正确搬运,最后转送上级医院治疗。结果:本组患者入院途中无患者死亡,患者经过我们院前的急救措施均平安送入上级医院。结论:积极、有效的院前急救能够稳定脑外伤患者的病情,降低运送过程中的危险性,为入院治疗争取更多时间,提高患者的生存率与生存质量。
Objective: To explore the method of implementing prehospital emergency for patients with traumatic brain injury in community hospital. Methods: Sixty-six traumatic brain injury patients who were first aid and transferred to the superior hospital from January 2014 to October 2015 were selected by the community hospital to arrange professional medical staff rushed to the scene to implement pre-hospital emergency treatment, including observation of the status of consciousness, vital signs , Pupil changes, the establishment of effective respiratory and venous access, handling leakage of cerebrospinal fluid, symptomatic treatment and the correct handling, and finally forwarded to higher-level hospital for treatment. Results: There was no patient died on the way of hospitalization. The patients were safely sent to the superior hospital after first aid measures in our hospital. Conclusion: Active and effective pre-hospital care can stabilize the condition of patients with traumatic brain injury, reduce the risk during transportation, gain more time for hospitalization and improve the survival rate and quality of life.