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目的:分析汶川大地震颅脑损伤的临床特点,探讨救治策略。方法:对2008年5月12日至6月2日汶川大地震中什邡市二医院收治的222例颅脑损伤伤员进行总结分析。结果:大批地震伤员中,颅脑损伤主要以轻、中型颅脑损伤为主,其中以头皮裂伤最多见,其次为脑挫伤、硬膜下血肿、硬膜外血肿、开放性脑损伤。大部分颅脑损伤伤员合并有其他部位损伤,以合并四肢骨折最多见。开展手术28例,死亡7例。结论:地震后伤员在短期内集中大量达到,颅脑损伤以头皮裂伤多见,医院有效的组织,快速评估病情,制定有效的治疗计划,注意合并伤的处理,强化院前急救以及三线医院转送,提高救治成功率。
Objective: To analyze the clinical features of brain injury in Wenchuan earthquake and to explore the strategy of treatment and treatment. Methods: A total of 222 traumatic brain injury cases admitted to the Second Hospital of Shifang City from May 12 to June 2, 2008 in Wenchuan Earthquake were summarized. Results: Among the large number of earthquake victims, craniocerebral injury mainly consisted of mild and moderate craniocerebral injury, with the most common scalp laceration, followed by cerebral contusion, subdural hematoma, epidural hematoma and open brain injury. Most traumatic brain injury injury with other parts of the injury, the most common fracture of the limbs. Operative surgery in 28 cases, 7 patients died. Conclusion: After the earthquake, a large number of wounded people were concentrated in a short period of time. Head trauma was more common in brain injury. Effective tissue of the hospital was used to assess the disease rapidly. Effective treatment plans were formulated. Pay attention to the treatment of combined injuries, strengthen pre-hospital emergency and Third Line Hospital Transfer, improve the success rate of treatment.