急救绿色通道对提高严重创伤救治水平的研究  

Effects of First-aid fast track on improving the level of trauma care

作　　者：姚元章[1] 孙士锦[1] 沈康强[1] 彭博[1] 张连阳[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所全军战创伤中心,重庆400042

出　　处：《重庆医学》2007年第22期2272-2273,共2页Chongqing medicine

摘　　要：目的探讨急救绿色通道对提高严重创伤救治水平的影响。方法回顾分析了急救绿色通道建立近1年来45例创伤患者急救情况,以过去1年急救的26例严重创伤患者作为对照组。结果两组基线资料具有可比性,绿色通道组45例患者死亡2例,死亡率为4.4%,对照组26例患者死亡2例,死亡率为7.7%(P<0.05)。绿色通道组在急诊室处理时间、特殊检查时间、入院至手术室时间较对照组明显缩短(P<0.05)。结论急救绿色通道的建立和完善,缩短了患者的救治空间和时间,显著降低伤死率,提高了救治成功率;保证了创伤急救的"时效性和整体性";促进了创伤学人才的培养。Objective To explore effects of First-aid fast track on improving the level of severe trauma care. Methods Forty-five trauma patients from trauma center from March 2006 to February 2007 after establishment of First-aid fast track, were retrospectively analyzed and 26 trauma patients in the last 3-year as control group. Results The baseline of two groups had comparability （P〉0. 05） ;of 45 patients in fast track group, 2 died （4.4%）, 2 died in 26 control group, with death rate of 7. 7%（P〈0. 05）. There was less time in emergency room care, special inspect and hospital admission to operating room in fast track group than in control group （P〈0. 05）. Conclusion The establishment and consummation of First-aid fast track would shorten the space and time of trauma care, decrease the death rate significantly, increase the achievement ratio, guarantee chronergy and integrity of trauma emergency care and promote the cultivation of talented man in traumatology.

关 键 词：创伤 急救绿色通道 救治 创伤学人才 

分 类 号：R641[医药卫生—外科学]