外伤性脑损伤(TBI)按患者的伤情分为轻、中、重型,其中重型TBI病死率达30%-50%[1],已经成为青壮年和儿童死亡的最主要的原因。因此,如何提高救治成功率、降低伤残率及病死率,已成为创伤医学的难题之一。及时有效的院前急救对患者的预后常起到关键作用。我们回顾性分析2011年12月-2013年11月院前急救的295例重型TBI患者的临床资料,现总结如下。资料与方法1.一般资料患者入选标准为:GCS为3-8分, Traumatic brain injury (TBI) according to the patient’s injury is divided into mild, moderate and severe, including severe TBI mortality of 30% -50% [1], has become the most important cause of death in young adults and children. Therefore, how to improve the success rate of treatment and reduce the disability rate and mortality has become one of the problems of trauma medicine. Timely and effective pre-hospital care plays a crucial role in the prognosis of patients. We retrospectively analyzed the clinical data of 295 patients with heavy TBI who were hospitalized for first aid from December 2011 to November 2013 and are summarized as follows. Materials and Methods 1. General Information Patients selected criteria: GCS is 3-8 points,