CAJ | 학술논문

目的：探讨急诊一体化运转模式在抢救重型颅脑外伤患者中的意义。方法：对比实施急诊一体化运转模式前后2年里重型颅脑外伤患者在急诊科的急救应对时间及手术的疗效情况。结果：实施急救一体化运转模式后，在抢救重型颅脑外伤患者的急诊室处理时间、特殊检查处理时间、送达手术室时间、入院至送达手术室时间均较实施前明显缩短，一体化后患者从入院至手术时间为（43．7±10．3）min，较一体化前（55．9±11．5）min明显缩短（ P ＜0．05）；急救一体化前后重型颅脑外伤患者手术疗效中死亡率分别为16．7％和4．4％，比较差异有统计学意义（ P ＜0．05）。结论：急救一体化运转模式能有效缩短重型颅脑外伤诊断时间，缩小了患者的救治空间，提高患者恢复程度，降低伤死率；制定重型颅脑外伤患者的急救一体化运转模式细则及执行该急救流程意义重大。
목적：탐토급진일체화운전모식재창구중형로뇌외상환자중적의의。방법：대비실시급진일체화운전모식전후2년리중형로뇌외상환자재급진과적급구응대시간급수술적료효정황。결과：실시급구일체화운전모식후，재창구중형로뇌외상환자적급진실처리시간、특수검사처리시간、송체수술실시간、입원지송체수술실시간균교실시전명현축단，일체화후환자종입원지수술시간위（43．7±10．3）min，교일체화전（55．9±11．5）min명현축단（ P ＜0．05）；급구일체화전후중형로뇌외상환자수술료효중사망솔분별위16．7％화4．4％，비교차이유통계학의의（ P ＜0．05）。결론：급구일체화운전모식능유효축단중형로뇌외상진단시간，축소료환자적구치공간，제고환자회복정도，강저상사솔；제정중형로뇌외상환자적급구일체화운전모식세칙급집행해급구류정의의중대。
Objective:To explore the significance of the integrated emergency operation mode in rescuing the severe brain injury .Methods:Compare the emergency response time and the efficacy of surgery on patients with severe brain injury before and after the implement of the integrated emergency operation mode in two years.Results:The time for emergency room treatment, special examination and management, delivering to oper-ating room, and the time from admission to operating room in rescuing the patients with severe brain injury after the application of the mode were significantly shorter than those before the integration.The time from admission to operating room (min) after the integration was 43.7 ±10.3, which was significantly shorter than 55.9 ±11.5 before that ( P <0.05).The mortality rates of the patients with severe brain injury in surgical effects were 16.6 % and 4.4 % respectively before and after the integrated emergency, with the difference statistically significant ( P <0.05). Conclusion:The integrated emergency operation mode can effectively shorten the diagnosis time of severe brain injury , reduce the patients'treat-ment space and improve the patients'recovery level, lowering the rate of injury and death.It's significant to implement the integrated emergency op-eration mode while details of the mode will be required to formulate in patients with severe brain injury .