Coats T J, Kirk C J, Dawson M
Helicopter Emergency Medical Service, Royal Hospitals Trust, Whitechapel, London.
J Accid Emerg Med. 1999 May;16(3):182-5. doi: 10.1136/emj.16.3.182.
To describe outcome after treatment of severe head injury within an integrated trauma system.
A retrospective analysis of all patients with severe head injury admitted to the Royal London Hospital by the Helicopter Emergency Medical Service (HEMS) between 1991 and 1994. Type of injury was defined on initial computed tomography of the head and outcomes assessed 12 months after injury using the Glasgow outcome score.
6.5% of HEMS patients had long term severe disability (severe disability or persistent vegetative state on the outcome score); 34.5% made a good recovery.
The concern that a large number of severely disabled long term survivors might result as a consequence of this system of trauma management is not confirmed. The case mix of severity of extracranial injuries in these patients makes comparison with other published series difficult, but these data fit the hypothesis that pre-hospital correction of hypoxia and hypotension after head injury improves outcome.
描述综合创伤系统中重度颅脑损伤的治疗结果。
对1991年至1994年间由直升机紧急医疗服务（HEMS）送往皇家伦敦医院的所有重度颅脑损伤患者进行回顾性分析。损伤类型根据头部初次计算机断层扫描确定，损伤12个月后使用格拉斯哥预后评分评估结果。
6.5%的HEMS患者有长期严重残疾（预后评分显示为严重残疾或持续性植物状态）；34.5%恢复良好。
因这种创伤管理系统可能导致大量长期严重残疾幸存者的担忧未得到证实。这些患者颅外损伤严重程度的病例组合使得与其他已发表系列进行比较困难，但这些数据符合以下假设，即颅脑损伤后院前纠正缺氧和低血压可改善预后。
