EFFECTIVENESS OF RAPID CARDIOPULMONARY BYPASS IN ENHANCING RECOVERY AND PROGNOSIS FOR ATHLETIC PATIENTS WITH CRANIAL INJURIES FROM CAR ACCIDENTS

Abstract

Objective: To investigate the effect of emergency rapid cardiopulmonary bypass on the recovery and prognosis of craniocerebral injury athletic patients in car accidents. Methods: 200 cases of TBI patients admitted to our hospital from February 2019 to February 2022 were retrospectively analyzed. They were randomly divided into control group and experimental group, with 100 cases in each group. TBI athletic patients in the experimental group were treated with emergency rapid cardiopulmonary bypass, while those in the control group were treated with conventional treatment. The data of the two groups were analyzed, and the success rate of emergency rescue in the two groups was compared and analyzed. The serum creatinine (SCR), blood urea nitrogen (BUN), white blood cell (WBC), Ala-nine aminotransferase (ALT), N-acetyl-β-D-glucosaminidase (NAG),were compared between the two groups before and after treatment, AlT) index changes; According to (Glasgow Coma Scale GCS), (Mini-Mental State Examination ,MMSE), (Barthel Index, BI) and Fugl-Meyer Assessment (FMA) were used to evaluate the recovery status of TBI athletic patients, and the prognostic status of the two groups was compared. The incidence of postoperative complications and the satisfaction of athletic patients in the two groups were compared and analyzed. Results: The rescue success rate of TBI athletic patients in experimental group was higher than that in control group. Prognostic effect: GCS, MMSE, BI index and Fugl-Meyer score of TBI athletic patients in the experimental group were significantly lower than those in the control group, and higher than those in the control group. Incidence of prognostic complications: the incidence of mental impairment, traumatic epilepsy, skull defect and pulmonary infection in athletic patients was significantly lower than that in control group. Patient satisfaction: the satisfaction of athletic patients in the experimental group was higher than that in the control group, and the difference was statistically significant. Conclusion: The establishment of emergency rapid cardiopulmonary bypass for patients with craniocerebral injury in car accident can improve the survival rate of patients with TBI, improve the prognosis of athletic patients, and promote the recovery of athletic patients, neurological state and limb movement, which has a high clinical value.