[1]周佳,邵素花,李露寒,等.急性颅脑损伤院前院内一体化救护与转运管理[J].中国临床神经外科杂志,2024,29(06):372-376.[doi:10.13798/j.issn.1009-153X.2024.06.013]
　ZHOU Jia,SHAO Su-hua,LI Lu-han,et al.Integrated prehospital and in-hospital rescue and transport management for acute traumatic brain injury[J].,2024,29(06):372-376.[doi:10.13798/j.issn.1009-153X.2024.06.013]
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急性颅脑损伤院前院内一体化救护与转运管理()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年06期
页码:
372-376
栏目:
综述
出版日期:
2024-06-30

文章信息/Info

Title:
Integrated prehospital and in-hospital rescue and transport management for acute traumatic brain injury
文章编号:
1009-153X（2024）06-0372-05
作者:
周佳; 邵素花; 李露寒; 彭娜; 苏晓娟
430070武汉，中部战区总医院神经外科（周佳、邵素花、彭娜、苏晓娟），护理部（李露寒）
Author(s):
ZHOU Jia1;  SHAO Su-hua1;  LI Lu-han2;  PENG Na1;  SU Xiao-juan1
1. Department of Neurosurgery, General Hospital of Central Theater Command, Wuhan 430070, China; 2. Department of Nursing Management, General Hospital of Central Theater Command, Wuhan 430070, China
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
Keywords:
Acute traumatic brain injury;  Pre-hospital emergency rescue;  Integrated rescue;  Transportation management;  Safe transportation
分类号:
R 651.1+5
DOI:
10.13798/j.issn.1009-153X.2024.06.013
文献标志码:
A
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.

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备注/Memo

备注/Memo:
（2023-12-15收稿，2024-04-01修回）
通信作者：李露寒，Email：568495151@qq.com
更新日期/Last Update: 2024-06-30