颅脑创伤(TBI)是常见急重症之一,其病死率、致残率居各类创伤之首。1院前急救院前急救是TBI救治的起始环节,包括现场救治及患者转运。现场救治应尽可能保持患者呼吸道通畅,保证呼吸及血压平稳,并行必要的颈部及肢体固定。运送途中应密切观察患者的意识、瞳孔、生命体征、呼吸道 Craniocerebral trauma (TBI) is one of the common acute and severe cases. Its mortality and morbidity rank first in all kinds of trauma. 1 Pre-hospital First-aid Pre-hospital First-aid is the starting point for TBI treatment, including on-site treatment and patient transport. Site treatment should be as far as possible to keep the patient’s airway open, to ensure stable breathing and blood pressure, neck and limb parallel necessary fixed. Patients should be closely observed during transit, pupils, vital signs, respiratory tract