严重交通伤的死亡原因分析  

Serious Traffic Trauma The Death Reason Analyzes

作　　者：徐凡[1] 方丹青[1] 

机构地区：[1]广州医学院第二附属医院急诊外科,广东广州510260

出　　处：《国际医药卫生导报》2006年第14期64-66,共3页International Medicine and Health Guidance News

摘　　要：目的分析严重交通伤死亡病例的特点及死亡原因。方法对186例严重交通伤死亡病例临床资料进行回顾性分析。结果死亡时间呈三相分布。死亡原因:重型颅脑损伤60例(32.25%),大量失血49例(26.34%),成人呼吸窘迫综合征(ARDS)27例(14.51%),多器官功能衰竭(MODS)24例(12.9%),严重感染15例(8.06%),DIC7例(3.76%),脂肪栓塞综合征4例(2.15%)。早期死亡原因:重型颅脑损伤、大量失血。后期死亡原因:MODS、ARDS、严重感染。结论交通伤是城市严重创伤的主要原因,充分认识交通伤的死亡原因及其特点,针对性地予以早期有效的急救措施,早期防治并发症,以期降低严重创伤的死亡率,挽救生命。Objective Analysis the characteristics of serious traffic trauma death cases and Causes. of death. Methods The clicinal data of 186 patients death with serious traffic trauma treated in Emergency surgical department from January 1998 to November 2005 was studied retrospectively. Results Distribution of a three-phase time of death . Causes of death ： Heavy brain injuries 60（32.5%）, hemorrhagic shock 49（26. 34%）,ARDS 27 （14.51%）, MODS 24（12.9%）, Serious infections 15 （8.06%）, DIC 7 （3.76%）,FES4 （2.15%）. Early causes of death： Heavy brain injuries, hemorrhagic shock. Late causes of deaths：MODS, ARDS, Serious infections. Conclusion The traffic trauma is main reason of city serious wound , understand the characteristics of Traffic Patients deaths , give the early effective first aid to prevent and care the complication in early day in hope of reducing th death rate of the serious wound.

关 键 词：严重交通伤 死亡原因 MODS ARDS 严重感染 

分 类 号：R641[医药卫生—外科学]