Exploration on the pattern of pre-hospital and in-hospital first aid of craniocerebral injury / 中华创伤杂志

ABSTRACT

Objective To discuss the pattern of pre-hospital and in-hospital first aid of craniocerebral injury. Methods A retrospective study was carried out on 4 311 cases with craniocerebral injuries, who were directly sent into the emergency room of the department of neurosurgery, classified and cured by special doctors according to corresponding procedures. Results A total of 2 992 mildly and mediumly injured cases were cured. In 1 319 severely injured cases, 164 died within 24 hours and the other 1 155 were evaluated by GOS, showing that 750 got good recovery plus moderate disability (64.94%), 132 resulted in severe disability (11.43%), 44 in vegetation (3.81%) and 229 died (19.83%). The total fatality rate was 29.80%. Conclusions It is beneficial to cure of the severe craniocerebral injury by utilizing the following ways, ie, pre-hospital care, immediate sending into the wards, special diagnosis according to first aid procedures, operation and ICU.