目的

探讨急诊绿色通道对救治重度颅脑损伤患者的价值。

方法

收集2008年1月至2014年1月期间我院收治的重度颅脑损伤患者作为研究对象，其中187例患者行绿色通道治疗，由专门绿色通道小组对患者进行院前急救处理，然后将患者送至急诊科进行相应的处理；138例患者采用急诊病房手术模式治疗，对比两组临床效果。

结果

187例通过绿色通道直接进入手术室行急诊经手术治疗，成功186例，死亡1例，治疗成功率99.5%。138例通过急诊病房手术室模式行手术治疗。成功123例，死亡15例，成功率89.1%。绿色通道组成功率明显高于对照组，差异有统计学意义（χ²＝6.325，P＜0.05）。且观察组患者手上至急救时间、急诊室逗留时间、特殊检查时间及入院至手上时间均明显优于对照组（P＜0.05）。

结论

开设绿色通道是重度颅脑损伤救治的必然趋势。

Objective

To explore the emergency Easy Access on treatment of patients with severe craniocerebral injury value.In our hospital in patients with severe traumatic brain injury were collected from 2013 January to 2015 during January as the object of study，of which 187 cases were treated by Easy Access treatment，by the specialized Easy Access group of patients with pre hospital emergency treatment，and then sent to the emergency department with corresponding treatment；138 patients were treated by emergency operation mode ward treatment，compared two groups of clinical effect.

Results

187 cases by Easy Access directly into the operation room underwent emergency operation treatment，186 cases were successful，1 cases died，with a successful rate of 99.5%.In 138 cases treated by emergency wards of operation room operation mode.The success of 133 cases，5 cases died.Easy Access group success rate was significantly higher than the control group，the difference was statistically significant（χ²＝6.325，P＜0.05）.And the patients in the observation group on the hand to the emergency time，emergency room stay，special examination time and admission to the hands of time were significantly better than the control group（P＜0.05）.

Conclusions

Easy Access is an inevitable trend in treatment of severe traumatic brain injury.