重症脳損傷患者のヘリコプターでの長距離輸送

Long Distance Air Transport by Helicopter of a Patient with Severe Head Damage

I．はじめに

　欧米やオーストラリアではヘリコプターは日常の救急医療に広く活用されている^1,3,7）．日本でも最近ヘリコプターおよびその周囲の整備が進み，時に救急医療の現場に応用されるようになってきた．今回われわれは，頭部外傷後気管内挿管，中心静脈栄養施行中の重症脳損傷患者をヘリコプターにて搬送する機会があり，その現状と問題点を検討したので報告する．

A report of a case of a patient with severe head trauma with pneumonia and cerebral infarction trans-ported by helicopter. An eighty-year-old male was referred to our hospital because of dyspnea after a fall durlng sightseeing at Hiroshima. He was lucid at first, but, after two days presented restlessness due to brain contusional hemorrhage and edema. Moreover, he developed pneumonia and cerebral infarction dur-ing the period of his hospitalization. He was intubated and received central venous routing. While being transported, his consciousness showed moderate disturbance, aphasia and right hemiplegia.