地震灾害中颅脑损伤的救治
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摘要
四川省汶川大地震造成大量的伤亡,其中很大部分是由于颅脑损伤所致,颅脑损伤死亡率和致残率居全身各处创伤之首,很多颅脑损伤病人是由于救治不及时或方法不得当而造成严重后果。笔者研究了国内外颅脑损伤救治的原则和经验,并结合地震灾害的特殊性,提出了类似灾害中颅脑损伤的救治方法。
Wenchuan Earthquake in Sichuan Province caused a lot of death and injury, the majority of them were craniocerebral injuries, which was the first reason of disability and mortality in trauma of the whole body. Many patients with craniocerebral injuries had bad outcomes, because the rescue and treatment were not in time or the treatment was not suitable. In this review, considering the particularity of earthquake, we discussed the rescue and treatment of craniocerebral injury in similar natural disasters, just like earthquake, according to the principles and experiences about rescue and treatment summarized at home and abroad.
Wenchuan Earthquake in Sichuan Province caused a lot of death and injury, the majority of them were craniocerebral injuries, which was the first reason of disability and mortality in trauma of the whole body. Many patients with craniocerebral injuries had bad outcomes, because the rescue and treatment were not in time or the treatment was not suitable. In this review, considering the particularity of earthquake, we discussed the rescue and treatment of craniocerebral injury in similar natural disasters, just like earthquake, according to the principles and experiences about rescue and treatment summarized at home and abroad.
引文
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[22]江基尧.努力提高我国颅脑创伤病人的治疗效果[J].中国微侵袭神经外科杂志,2006,11(9):385-386.
[2]王忠诚.王忠诚神经外科学[M].武汉:湖北科学技术出版社,2005:365-409.
[3]吕彦峰,顾庆焕.临床神经外科急症[M].石家庄:河北科学技术出版社,2003:77-82.
[4]凌锋,王宁,谌燕飞,等.地震灾害中颅脑创伤紧急救治原则[J].中国医学论坛报,2008,6(2):2-4.
[5]Raissi GR.Earthquakes and rehabilitation needs:experiences from Bam,Iran[J].J Spinal Cord Med,2007,30(4):369-372.
[6]Bullock RM,Chesnut RM,Clifton GL,et al.Guidelines for the management of severe traumatic brain injury[J].J Neurotrauma,2000,17(5):449-554.
[7]Jiang JY,Guo GY,Li WP,et al.Early indicators of prognosis in846cases of severe traumatic brain injury[J].J Neurotrauma,2002,19(7):869-874.
[8]Bozkurt M,Ocguder A,Turktas U,et al.The evaluation of trauma patients in Turkish Red Crescent Field Hospital following the Pakistan earthquake in2005[J].Injury,2007,38(3):290-297.
[9]Mulvry JM,Awan SU,Narayan RK,et al.Clinical trial in head injury[J].J Neurotrauma,2002,19(5):503-507.
[10]Mulvey JM,Awan SU,Qadri AA,et al.Profile of injuries arising from the2005Kashmir earthquake:the first72h[J].Injury,2008,39(5):554-560.
[11]Priebe MM.Spinal cord injuries as a result of earthquakes:lessons from Iran and Pakistan[J].Spinal Cord Med,2007,30(4):367-368.
[12]Jiang J,Yu M,Zhu C.The Effect of long-term mild hypothermia on patient with severe traumatic brain Injury:1year follow up87cases[J].Chin J Neurosurg,2000,93(4):546-549.
[13]江基尧,于明琨,朱诚,等.2284例急性颅脑损伤病人救治临床疗效分析[J].中华神经外科杂志,2001,17(3):187-189.
[14]Gautschi OP,Cadosch D,Rajan G,et al.Earthquakes and trauma:review of triage and injury-specific,immediate care[J].Prehosp Disaster Med,2008,23(2):195-201.
[15]Bhatti SH,Ahmed I,Qureshi NA,et al.Head Trauma Due to Earthquake October,2005-Experience of300Cases at the Combined Military Hospital Rawalpindi[J].Coll Physicians Surg Pak,2008,18(1):22-26.
[16]Prasartritha T,Tungsiripat R,Warachit P.The revisit of2004tsunami in Thailand:characteristics of wounds[J].Int Wound J,2008,5(1):8-19.
[17]Laverick S,Kazmi S,Ahktar S,et al.Asian earthquake:report from the first volunteer British hospital team in Pakistan[J].Emerg Med J,2007,24(8):543-546.
[18]雷霆,胡文安,薛德麟.急性颅脑损伤的外科治疗基本原则[J].中国临床神经外科杂志,2001,6(1):5-6.
[19]章翔,吴景文.急性颅脑损伤时的水与电解质问题[J].中国临床神经外科杂志,2001,6(1):3-4.
[20]曹美鸿.严重脑外伤液体疗法的新观点[J].中华神经外科疾病研究杂志,2002,1(2):100-103.
[21]朱诚,江基尧,于明琨.我国颅脑创伤研究现状与展望[J].中华神经外科杂志,1999,15(1):1-2.
[22]江基尧.努力提高我国颅脑创伤病人的治疗效果[J].中国微侵袭神经外科杂志,2006,11(9):385-386.
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