Way of emergency treatment on patients with traumatic brain injuries in Guangdong mountain area
10.3760/cma.j.issn.1671-8925.2010.05.015
- VernacularTitle:广东山区颅脑损伤急救治疗模式的探讨
- Author:
Jin-Zhao ZHANG
1
;
Yong-Gao DENG
;
Shi-Huo CHEN
;
Zhi-Sheng CHEN
;
Jing LI
;
Zhi-Piao XIE
Author Information
1. 广东省云浮市人民医院
- Keywords:
Mountain area;
Traumatic brain injuries;
Way of emergency treatment
- From:
Chinese Journal of Neuromedicine
2010;9(5):500-502
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the new way that can improve the emergency treatment rate on patients with traumatic brain injuries in Guangdong mountain area. Methods New emergency treatment way was adopted from June 2006 to June 2008 in patients traumatic brain injuries and these patients were chosen as experimental group. Control group is composed of patients treated with old emergency treatment way from June 2004 to June 2006. The pre-hospital mortality rate, in-hospital mortality rate and CPR success rate in the 2 groups were compared; the interphase between injury and receiving treatment, and the rescuing radius in these 2 groups were analyzed. Results Control grouphad the in-hospital mortality rate and pre-hospital mortality rate reaching 29.06% (68/234) and 32.76%(114/348), respectively, which was significantly higher than the experimental group (in-hospital mortality rate: 10.49% [28/267], pre-hospital mortality rate:18.10% [59/326]) (P<0.05). The maxima rescuing radius and mean interphase between injury and receiving treatment in the experimental group (10 km, 50min) were statistically different as compared with those in the control group (70 km, 85 min) (P<0.05).CPR success rate in the experimental group (80.32%) was obviously higher man that in the control group (23.24%) (P<0.05). The death rate in the experimental group was increased following the prolonged interphase between injury and receiving treatment. Conclusion The new way, by increasing 120urgent care centre, shortening the rescuing radius and reaction time, strengthening the care technique ofthe doctors and nurses and reinforcing the equipment in the urgent care centre, can obviously increase the emergency treatment rate.
