Lajtman Z, Gasparović S
Department of Otorhinolaryngology, Merkur University Hospital, Zagreb, Croatia.
Acta Med Croatica. 1996;50(3):133-6.
The Glasgow Coma Scale (GCS), an indicator of the severity of head injury, may help identify the head injured patients who will eventually undergo tracheotomy. Authors' present retrospective study reveals that the likelihood of tracheotomy is significantly greater in patients with a GCS rating < 7 than in those with a GCS rating > 7 (p < 0.01). In order to minimize complications and make tracheotomy patients feeling more comfortable and communicable, this study argues for early tracheotomy in patients with a GCS score < 7, but never before 72 hours after injury, because it is a time necessary for patient stabilization and elimination of any illicit drugs or alcohol used prior to head injury.
格拉斯哥昏迷量表（GCS）是头部损伤严重程度的一个指标，可能有助于识别最终将接受气管切开术的头部受伤患者。作者目前的回顾性研究表明，格拉斯哥昏迷量表评分＜7分的患者接受气管切开术的可能性显著高于评分＞7分的患者（p＜0.01）。为了将并发症降至最低，并使气管切开术患者感觉更舒适且便于交流，本研究主张对格拉斯哥昏迷量表评分＜7分的患者尽早进行气管切开术，但绝不在受伤后72小时内进行，因为这是患者病情稳定以及清除头部受伤前使用的任何非法药物或酒精所必需的时间。
