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随着急诊急救及“120”急救意识的广泛增强,创伤事故一旦发生,由我科担负的“120”院外急救都能在“黄金1h”赶赴现场救治,不仅争取了救治时间,也为我们院前急救工作积累了大量宝贵经验。小儿重症颅脑损伤临床多见,也是“120”院前急救常见创伤。我们从1999年9月至2003年7月共救治48例小儿重症颅脑损伤,其中院前“120”急救12例,占25%,现总结如下。1临床资料1.1一般资料男32例、女16例。9个月至3岁26例,4岁至8岁13例,9岁至13岁9例。其中跌落伤29例,车祸伤12例,闭合伤49例。原发性脑干损伤2例,脑挫裂伤颅内血肿21例,硬膜外血肿12例、硬膜下血肿11例、创伤性脑梗塞2例。直接外力致伤部位侧血肿38例、对冲部位血
With the first aid emergency and “120” emergency awareness of a wide range of enhancements, once a trauma accident occurs, by the Division I “120 ” hospital emergency can “Golden 1h ” rushed to the scene for treatment, not only for treatment Time, but also for our pre-hospital emergency work has accumulated a wealth of valuable experience. Severe traumatic brain injury in children more common clinical, but also “120 ” common hospital emergency trauma. We from September 1999 to July 2003 a total of 48 cases of pediatric severe craniocerebral injury, including pre-hospital “120 ” emergency treatment in 12 cases, accounting for 25%, are summarized as follows. 1 clinical data 1.1 General Information 32 males and 16 females. 9 months to 3 years old 26 cases, 4 years old to 8 years old 13 cases, 9 years old to 13 years old 9 cases. Among them, 29 cases of falls, 12 cases of traffic accident and 49 cases of closed injuries. 2 cases of primary brain stem injury, 21 cases of intracranial hematoma of cerebral contusion, 12 cases of epidural hematoma, 11 cases of subdural hematoma and 2 cases of traumatic cerebral infarction. Direct external injury site side hematoma in 38 cases, hedge site blood