多发性骨关节损伤患者346例损伤特点分析  

Analysis of characteristics in 346 patients with multiple injuries of bone and joint

作　　者：侯喜君[1] 林昂如[2] 

机构地区：[1]解放军总医院学员队,北京市100853 [2]南方医科大学南方医院创伤骨科,广东省广州市510515

出　　处：《中国临床康复》2006年第48期16-18,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:分析多发性骨、关节损伤的特点。方法:收集广州地区南方医院、珠江医院、解放军广州军区总医院、解放军第157医院、解放军海军421医院等5所部队医院创伤骨科2003年收治的多发性骨关节损伤患者的临床资料,通过计算机系统初步检索后,调阅所有病历进行分析、总结,归纳出多发性骨关节损伤特点。结果:①上述医院2003年全年创伤骨科共收治创伤住院患者3046例,其中符合多发性骨关节损伤诊断标准的患者346例,占所有患者的11.4%,男女比例为4∶1,平均年龄(32.8±14.8)岁。②致伤原因依次为交通伤65.3%、重物压砸伤18.8%、坠落伤15.0%,其他0.8%。③平均住院时间(35.0±7.0)d,费用(27596.8±2524.8)元。④全身多处均可致伤,但以下肢最多见,胫腓骨及股骨为最主要的损伤部位,2处骨折69.9%,2处以上骨折31.1%。⑤并发症以休克为主(22.6%),合并损伤以颅脑和胸部损伤最常见(14.7%,6.6%)。结论:多发性骨关节损伤危害严重,青壮年男性为主要受害人群,交通伤为最常见的受伤原因,工业事故所致多发骨关节损伤所占比例也较大,并发症及合并伤多。AIM： To analyze the characteristics in the patients of multiple injuries of bone and joint. METHODS： The clinical data of all the multiple injuries of bone and joint patients in hospital coming from the departments of trauma and orthopaedics of 5 military hospitals, including Nanfang Hospital, Zhujiang Hospital, General Hospital of Guangzhou Military Area Command of Chinese PLA, the 157 Hospital of Chinese PLA and the 421 Hospital of Navy Of Chinese PLA in Guangzhou in 2003 had been collected according to the computer system. After analyzing all the data of all the patients, the characteristics of multiple injuries of bone and joint were summarized. RESULTS： ①All of 3 046 trauma patients was hospitalized in the five military hospital in 2003, and 346 cases were accorded with the diagnostic criterion of the multiple injuries of bone and joint. The incidence rate of the multiple injuries of bone and joint was 11.4%, and the male and female rate was 4：1 with the mean age of （32.8±14.8） years. ②The reasons of injuries in order was traffic accident injury （65.3%）, crash injury of heavy object （18.8%）, the falling injury （15.0%） and others （0.8%）. ③The average stay was （35.0±7.0） days, and the mean cost was （27 596.8±2 524.8 ） yuan. ④The whole body could be injured, but the main site was the lower extremity, and tibiofihula and femur was the main site of trauma. 69.9% were with 2 parts fracture and 31.1% were with over 2 parts fracture. ⑤The main complication was shock （22.6%） and the main associated injuries were the trauma of cranium and chests （14.7%,6.6%）. CONCLUSION： The detriment of multiple injuries of bone and joint is severity, especially to the young male. Traffic accident injury is the most common cause, and the multiple injuries of bone and joint induced by industrial accident is also in a vast scale, and with many complications and associated injuries.

关 键 词：骨折 年龄因素 性别因素 身体部位 

分 类 号：R681[医药卫生—骨科学]