Evaluation Value of Two Trauma Scaling Systems in Patients of Acute Alcoholism with Traumatic Intracranial Hemorrhage in Prehospital Care_West China Medical Journal

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Department of Emergency, West China Hospital, Sichuan University, Chengdu Sichuan 610041, China;

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Keywords：

急性酒精中毒; 外伤性颅内出血; 院前指数; 格拉斯哥昏迷评分; 院前急救

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目的:探讨使用院前指数(Prehospital Index, PHI)及格拉斯哥昏迷评分(Glasgow Coma Score, GCS)两种创伤评分法对院前急救中急性酒精中毒合并外伤性颅内出血患者的评估价值。方法: 纳入68例院前急救中酒精中毒合并头外伤患者,院前均进行PHI及GCS两种创伤评分,随访至出院,以头部CT扫描及随访结果作为标准以判断患者是否伴有颅内出血。计算两种创伤评分的敏感度、特异度、阳性似然比、阴性似然比、阳性预测值、阴性预测值及Youden指数,并作出受试者工作特征曲线(ROC曲线),以正态离差值Z检验两种评分法ROC曲线下面积的差异。结果: 院前指数以6分作为诊断界值,敏感度为94.7%,特异度为71.4%;格拉斯哥昏迷评分以9分作为诊断界值,敏感度为98.8%,特异度为30.6%,PHI及GCS的ROC曲线下面积分别是0.881和0.678,其差异有统计学意义。结论: 在对急性酒精中毒合并头外伤患者是否伴有颅内出血的院前评估中,院前指数较格拉斯哥昏迷评分更有价值。

Citation： HU Hai,DU Xinmiao,JIANG Zhen,et al.. Evaluation Value of Two Trauma Scaling Systems in Patients of Acute Alcoholism with Traumatic Intracranial Hemorrhage in Prehospital Care. West China Medical Journal, 2009, 24(8): 1929-1930. doi: Copy

1.	冯丽洁,沈洪.防御酒精中毒减少意外伤害[J].中华急诊医学杂志,2002,11(4):277-278.
2.	李增法,张衍,孙世远.酒醉后颅脑外伤救治分析[J].中国急救医学,2000,20(4):250.
3.	石应康主编.急诊手册[M].北京:人民卫生出版社,2000:160.
4.	GRMEC S,GASPAROVIC V. Comparison of APACHE II, MEES and Glasgow Coma Scale in patients with nontraumatic coma for prediction of mortality[J]. Crit Care, 2001, 5(1): 19-23.
5.	MALANGONI MA. Alcohol Interventions for Trauma Patients Treated in Emergency Departments: Can We Afford Not to Intervene?[J] Ann Surg, 2005,241(4): 551-552.
6.	GENTILELLO LM, EBEL BE, WICKIZER TM,et al. Alcohol Interventions for Trauma Patients Treated in Emergency Departments and Hospitals: A Cost Benefit Analysis[J]. Ann Surg, 2005,241(4): 541-550.
7.	崔新民,冉住国,易代碧,等.重型颅脑损伤的院前急救[J]. 中华急诊医学杂志,2004,13(1):63.
8.	戴艳,蔡惠芳.酒醉后颅脑损伤的急救护理体会[J].现代中西医结合杂志,2004,13(13):1784.
9.	胡文贤,徐相瑞,王志国.急性创伤的分类与院前急救[J]. 中华急诊医学杂志,2004,13(4):284-285.
10.	WILLIAMS RJ, HITTINGER R, GLAZER G,et al. Resource implications of head injuries on an acute surgical unit[J]. J R Soc Med, 1994, 87(2): 83-86.
11.	龚洪福,何明方,梁兴泽,等. 急性酒精中毒合并颅脑外伤的诊治体会[J].创伤外科杂志,2005,7(1):62.

1. 冯丽洁,沈洪.防御酒精中毒减少意外伤害[J].中华急诊医学杂志,2002,11(4):277-278.
2. 李增法,张衍,孙世远.酒醉后颅脑外伤救治分析[J].中国急救医学,2000,20(4):250.
3. 石应康主编.急诊手册[M].北京:人民卫生出版社,2000:160.
4. GRMEC S,GASPAROVIC V. Comparison of APACHE II, MEES and Glasgow Coma Scale in patients with nontraumatic coma for prediction of mortality[J]. Crit Care, 2001, 5(1): 19-23.
5. MALANGONI MA. Alcohol Interventions for Trauma Patients Treated in Emergency Departments: Can We Afford Not to Intervene?[J] Ann Surg, 2005,241(4): 551-552.
6. GENTILELLO LM, EBEL BE, WICKIZER TM,et al. Alcohol Interventions for Trauma Patients Treated in Emergency Departments and Hospitals: A Cost Benefit Analysis[J]. Ann Surg, 2005,241(4): 541-550.
7. 崔新民,冉住国,易代碧,等.重型颅脑损伤的院前急救[J]. 中华急诊医学杂志,2004,13(1):63.
8. 戴艳,蔡惠芳.酒醉后颅脑损伤的急救护理体会[J].现代中西医结合杂志,2004,13(13):1784.
9. 胡文贤,徐相瑞,王志国.急性创伤的分类与院前急救[J]. 中华急诊医学杂志,2004,13(4):284-285.
10. WILLIAMS RJ, HITTINGER R, GLAZER G,et al. Resource implications of head injuries on an acute surgical unit[J]. J R Soc Med, 1994, 87(2): 83-86.
11. 龚洪福,何明方,梁兴泽,等. 急性酒精中毒合并颅脑外伤的诊治体会[J].创伤外科杂志,2005,7(1):62.

West China Medical Journal

Evaluation Value of Two Trauma Scaling Systems in Patients of Acute Alcoholism with Traumatic Intracranial Hemorrhage in Prehospital Care

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