颅脑损伤的神经外科资源与转运政策
Neurosurgical resources and transfer policies for head injuries.
作者信息
Bryden J S, Jennett B
出版信息
Br Med J (Clin Res Ed). 1983 Jun 4;286(6380):1791-3. doi: 10.1136/bmj.286.6380.1791.
Abstract
Criteria for transferring head injured patients to a regional neurosurgical unit were changed to enable a larger proportion of patients admitted to primary surgical wards to have a CT scan. The yearly number of transfers doubled, more intracranial haematomas were detected, and mortality from this complication was reduced. To operate such a policy requires seven neurosurgical beds per million for head injuries, given the Glasgow practice of early return of patients to primary surgical wards.
摘要
将头部受伤患者转至地区神经外科病房的标准发生了变化，以使更多入住初级外科病房的患者能够进行CT扫描。每年的转院人数增加了一倍，发现了更多的颅内血肿，并且这种并发症导致的死亡率降低了。鉴于格拉斯哥将患者早期转回初级外科病房的做法，实施这样一项政策每百万人口需要七张神经外科病床。
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本文引用的文献
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Admission after mild head injury: benefits and costs.轻度头部受伤后的入院治疗：益处与成本。
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