交通事故致严重多发伤的程序化急救处理  

Emergency treatment procedures in severe multiple trauma caused by traffic accidents

作　　者：周冰之[1] 张水英[1] 

机构地区：[1]浙江中医药大学附属第二医院急诊科,浙江杭州310005

出　　处：《全科医学临床与教育》2008年第2期127-129,共3页Clinical Education of General Practice

摘　　要：目的探讨提高交通事故致严重多发伤救治成功率的临床应用价值。方法交通事故致严重多发伤患者139例,随机分为治疗组和对照组(治疗组79例,对照组60例)。治疗组采取ABCDE制医生、护士抢救配合分工程序图程序化操作救治;对照组未采取ABCDE制医生、护士抢救配合分工程序图程序化操作救治。观察两组观察抢救成功率、诊断正确率、漏误诊率、并发症率。结果治疗组79例,抢救成功率89.57%,诊断正确率95.23%,漏误诊率19.00%,并发症率31.65%,治疗组抢救成功率明显高于对照组(t分别=10.52、11.43、12.72、11.32,P均<0.05)。结论严重多发伤救治时制定了ABCDE制医生、护士抢救配合分工程序图进行程序化操作,可以使参加抢救的医护人员有序分工、紧密协作、迅速作出诊断、及时进行救治,可提高严重多发伤抢救成功率,减少了漏误诊率和并发症发生率,有一定的临床推广价值。Objective To improve the success rate in patients with severe multiple trauma caused by traffic accidents by using the emergency treatment procedures. Methods 139 patients with severe multiple trauma caused by traffic accidents were randomly divided into treatment group and control group （treatment group 79 cases, control group 60 cases）. The program of rescue that ＂ABCDE system of rescue procedures for doctors with the division plans, nurses＂ was used in treatment groups. The control group was without using it. The rate of survival, diagnosis accuracy, misdiagnosis and complications were observed. Results In the treatment group, the rate of survival was 89.57%, diagnosis accuracy rate was 95.23%, misdiagnosis rate was 19.00%, complication rate was 31.65%, which was obviously higher than that in control groups （t=10.52,11.43,12.72,11.32, P〈0.05）. Conclusions The program of rescue can help to organize orderly rescue, have rapid diagnosis and timely treatment. It also can improve the rate of survival, reduce the rate of misdiagnosis and complications. It is valuable to be applied in clinic.

关 键 词：交通事故 严重多发伤 急救 

分 类 号：R641[医药卫生—外科学]