急救绿色通道在严重创伤早期救治中的作用  

Role of first-aid fast track in treatment of severe trauma patients

作　　者：姚元章[1] 张宇[1] 孙士锦[1] 张连阳[1] 

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

出　　处：《中华创伤杂志》2008年第4期268-270,共3页Chinese Journal of Trauma

摘　　要：目的探讨绿色通道急救模式在严重创伤早期救治中的作用和意义。方法回顾性分析2006年1月-2007年11月以绿色通道急救模式救治60例创伤患者的效果，并与2004年1月-2005年12月收治的46例非绿色通道组患者的急救效果进行比较。结果两组患者性别、年龄、致伤机制、ISS及失血量等指标分布差异无统计学意义（P〉0．05）；绿色通道组60例患者死亡2例，死亡率为3％，对照组46例患者死亡5例，死亡率为11％（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）。结论绿色通道急救模式缩短了严重创伤患者的救治空间和时间，显著降低了死亡率，提高了救治成功率，保证了创伤急救的“时效性和整体性”。Objective To explore the effects and significance of first-aid fast track in the treatment of severe trauma. Methods A retrospective study was done on 60 trauma patients （fast track group） treated by means of first-aid fast track from January 2006 to November 2007 to observe the effect of first-aid fast track. Another 46 trauma patients treated from January 2004 to December 2005 were used as control group. Results There was no statistical difference in aspects of sex, age, injury mechanism, ISS and blood loss in both groups （P 〉0.05）. Two patients died in the first track group, with mortality rate of 3% ; while five patients died in the control group, with mortality rate of 11% （P 〈 0.05）. Compared with the control group, there was shorter time in emergency room care, special examination and interval from admission to operating room in fast track group （P 〈 0.05）. Conclusion First-aid fast track can shorten the space and time in treatment of severe trauma, decrease the mortality rate, enhance success rate of treatment and hence guarantee chronergy and integrity of emergency trauma care.

关 键 词：多处创伤 急救 绿色通道 

分 类 号：R641[医药卫生—外科学]