5393例创伤病例的流行病学分析  

Epidemiology of trauma in Guangxi Zhuang Autonomous Region: analysis of 5393 cases

作　　者：刘勇[1] 

机构地区：[1]广西壮族自治区人民医院急诊科,南宁530021

出　　处：《中国急救复苏与灾害医学杂志》2007年第5期257-260,共4页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的 探讨广西区域性创伤的流行病学特点.方法 回顾性调查分析广西壮族自治区人民医院2002年1月1日至2006年12月31日来收治的5 393例创伤病历资料,用Microsoft:Excel建立数据库对其年龄、性别、致伤因素、损伤部位及死亡外因进行统计分析.结果 ①年龄38.8(1～95)岁,20～50岁青壮年构成了创伤患者的主体(54.79%);②男性受伤的风险大于女性(男性3 883,女性1 510;2.57:1);③以交通伤、跌伤和坠落伤分别占前3位,三者占致伤因素的84.03%,尤其是道路交通伤为广西区域性(南宁市)各年龄组人群创伤的首要原因(56.94%);④创伤部位以头部及四肢为主,占64.06%;严重多发伤是高死亡率的主要原因(占68.35%).结论 创伤,尤其道路交通伤是当今威胁人类健康严重的问题,全社会应重视意外创伤的预防,建立区域性专门的创伤防控和防治体系很有必要.Objective To study the epidemiological characteristics of the patients with trauma in Guangxi Zhuang Autonomous Region. Methods The clinical data of 5393 traumatic patients who admitted into the People’s Hospital of Guangxi Zhuang Autonomous Region from 1 January 2002 to 32 December 2006, 3883 males and 1510 females with a male/female ratio of 2.57∶1, aged 38.8(1～95)were analyzed. Results The clinical data of 5393 traumatic patients who admitted into the People’s Hospital of Guangxi Zhuang Autonomous Region from 1 January 2002 to 32 December 2006, 3883 males and 1510 females with a male/female ratio of 2.57∶1, aged 38.8(1～95)were analyzedMore than half (54.79%) of the in-patients with trauma were aged 20~50. 3 071 cased were caused by traffic accident (56.94%), 829 by fall (25.37%), 374 by beating, 197 by impact, and 290 by other factors. The second main cause of those aged 20~50 was fall from great height, accounting for 12.72% (376/2955) of the causes in this age group; and the second main cause of the children and elderly was accidental fall, accounting for 25.57%(358/1038) and 19.46%(202/1400). There were 1189 cases of multiple injuries (22.95%), and 4204 cases of single injury (77.95%). Injuries of head and neck, extremities, chest, lower back, and spine accounted for 32.04%, 32.003%, 14.65%, 11.88%,and 9.41% respectively. Seventy-nine patients died with a mortality of 1.46%. Forty-two and 18 of the 79 patients (53.16% and 22.18%) died of traffic accident and impact injury. Conclusion Trauma,especially traffic accident injury is a serious problem threatening the health and life on human beings.

关 键 词：创伤 区域性 流行病学 道路交通伤 

分 类 号：R[医药卫生]