【摘要】 目的分析以严重脑胸为主合并伤急诊救治的临床效果。方法选取2016年5月至2017年5月我院收治的脑胸合并伤20例,对其资料进行回顾性分析,观察治疗前后的GCS评分和实验室指标变化情况。结果（1）患者治疗前后GCS评分比较:治疗前患者的GCS评分为（2.16±0.85）,治疗后的GCS评分为（4.13±0.45）,与治疗前相比（P<0.05,t=9.1603）,差异具有统计学意义;（2）患者治疗前后的实验室指标变化:治疗后所有患者的血红蛋白、FEV₁、FEV₁%预计值和血氧饱和度均得到明显提高,与治疗前相比（P<0.05）,差异具有统计学意义。结论以严重脑胸为主合并伤患者的预后效果比较差,死亡率非常高,对其进行急诊救治需要全面评估患者的实验室指标,并采取有效的干预措施,这样才能提高临床抢救率,改善患者的预后情况。更多还原

【Abstract】 Objective To analyze the clinical effect of emergency treatment of severe brain thorax combined with trauma.MethodsFrom May 2016 to May 2017 in our hospital,20 patients with brain chest combined injury were analyzed retrospectively,and the GCS score and laboratory index changes before and after treatment were observed.Results（1） Compared with GCS score before and after treatment before treatment of patients with GCS score was（2.16±0.85） after treatment,the GCS score was（4.13±0.45）,compared with before treatment,（P<0.05,t=9.1603）,the difference was statistically significant;（2） Changes of laboratory index of patients before and after treatment:after treatment,all patients with hemoglobin FEV₁ %,FEV₁,the expected value and oxygen saturation were significantly increased,compared with before treatment（P<0.05）,the difference was statistically significant.Conclusion The prognosis in patients with severe brain injury.The chest is poor,the mortality rate is very high,the emergency treatment requires a comprehensive assessment of laboratory indicators of patients,and to take effective intervention the measures,so as to improve the rate of clinical treatment,improve the prognosis of patients.更多还原