[Preliminary study of clinical scoring on prognosis of severe head-injury]

In this article, 68 cases of severly head-injured patients scoring and prognosis evaluation were reviewed. We have come to a practicable severe head injury index (SHII) for first aid: the blood pressure (Bp), pulse rate (P), respiration rate (R), degree of consciousness and reaction of the pupils are five items taken for estimation of the patients. The highest total score was 25, the lowest was 5. If the score was lasted for 2-4 hours below 7, and first aid non-responsive in 4-6 hours, the mortality and morbidity rates will be high. When the score is more than 14, the first aid salvage will be meaningful. The first aid salvage will be meaningful. The first aid had significant measing especially for those patients whose score was over 18. The detailed method of clinical scoring is shown on chart 2.