中国临床神经外科杂志2024,Vol.29Issue(6) :372-376.DOI:10.13798/j.issn.1009-153X.2024.06.013

急性颅脑损伤院前院内一体化救护与转运管理

Integrated prehospital and in-hospital rescue and transport management for acute traumatic brain injury

周佳 邵素花 李露寒 彭娜 苏晓娟
中国临床神经外科杂志2024,Vol.29Issue(6) :372-376.DOI:10.13798/j.issn.1009-153X.2024.06.013

急性颅脑损伤院前院内一体化救护与转运管理

Integrated prehospital and in-hospital rescue and transport management for acute traumatic brain injury

周佳 1邵素花 1李露寒 2彭娜 1苏晓娟1
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作者信息

  • 1. 430070 武汉,中部战区总医院神经外科
  • 2. 430070 武汉,中部战区总医院护理部
  • 折叠

摘要

急性颅脑损伤(TBI)是导致创伤性死亡和神经功能障碍的首要原因.初次创伤后出现的低血压、缺氧和颅内高压等继发性损伤,会进一步加剧脑损伤.TBI的院前急救与护理的重点在于通过现场稳定伤情和迅速转运至适宜医院,以预防继发性脑损伤.及时有效的院前急救措施和早期护理干预,如纠正低血压、低氧状态、预防脑水肿等,可显著降低二次损伤的风险.院前急救作为TBI救治的首要环节,其重要性不言而喻;而院内的快速反应、多学科协同合作、急诊抢救与安全转运,则是高效救治的具体表现.实现院前与院内救治的无缝衔接和创伤中心一体化救护流程,可以大幅缩短救治时间,从而提高抢救成功率.本文对TBI的院前与院内一体化救护及转运流程管理模式进行综合性评述,以期为临床实践提供有益的参考.

Abstract

Acute traumatic brain injury(TBI)is the primary cause of traumatic death and neurological dysfunction.After the initial trauma,secondary injuries such as hypotension,hypoxia,and intracranial hypertension will further exacerbate brain injury.The focus of pre-hospital emergency treatment and care for TBI lies in preventing secondary brain injury through stabilizing the condition at the scene and promptly transporting to a suitable hospital.Timely and effective pre-hospital emergency treatment measures and early nursing interventions,such as correcting hypotension and hypoxia,and preventing cerebral edema,can significantly reduce the risk of secondary injury.Pre-hospital emergency treatment,as the primary link in the treatment of TBI,is of self-evident importance;while the rapid response in the hospital,multidisciplinary collaboration,emergency rescue and safe transportation are specific manifestations of efficient treatment.Achieving seamless connection between pre-hospital and in-hospital treatment and the integrated rescue process of the trauma center can significantly shorten the treatment time and thereby increase the success rate of rescue.This paper conducts a comprehensive review of the integrated rescue and transport process management model for pre-hospital and in-hospital TBI,with the aim of providing a useful reference for clinical practice.

关键词

急性颅脑损伤/院前急救/一体化救护/转运管理/安全转运

Key words

Acute traumatic brain injury/Pre-hospital emergency rescue/Integrated rescue/Transportation management/Safe transportation

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出版年

2024
中国临床神经外科杂志
广州军区武汉总医院

中国临床神经外科杂志

CSTPCD
影响因子:0.781
ISSN:1009-153X
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