1020例重度创伤早期急诊救治的回顾研究  

Early Treatment of 1020 Cases with Sever Trauma

作　　者：杨欣[1] 李能平[1] 卢小兵[1] 

机构地区：[1]上海市浦东新区公利医院急诊外科,200135

出　　处：《中华全科医学》2010年第1期53-54,共2页Chinese Journal of General Practice

摘　　要：目的探讨重度创伤患者早期急诊救治,降低死亡率的方法。方法回顾性分析2004年1月-2008年12月上海市浦东新区公利医院早期急诊救治1 020例重度创伤的临床资料。结果本组重度创伤(ISS≥16分)病例共1 020例,其中男性715例,女性305例。年龄16～92岁,以45岁以下为主,占68.8%。创伤原因主要为交通伤(67.2%)、坠落伤(17.5%),创伤部位以颅脑外伤(32.8%)居多,老年人脊柱四肢损伤明显升高,但不同年份间受伤者年龄、受伤部位、致伤原因的比较,差异无统计学意义。结论青壮年是重度创伤的主要受害者,交通伤是严重创伤的主要原因。提高急救水平有利于提高患者的生存率。Objective To explore an effective way to the early emergency management of sever trauma. Methods Data of 1 020 emergency cases with sever trauma in our department from Jan 2004 to Dec 2008 were retrospectively analyzed. Results Of the 1 020 cases（injury severity score≥ 16） ,there were 715 male and 305 female,age ranged from 16 to 92 years old. Most of the patients were younger than 45 years old,accounting for 68.8%. Most of the causes of trauma were traffic accidents（67.2% ）. Head injury was the most common type （32.8%）, extremities injury and/or spinal injury were increased markedly in elder patients. The injury age, injury causes and injury sits were modified between various years. Conclusion Young adults were the majority of the victims. Traffic accidents were the major causes of severe trauma. Successful treatment can improve the survival rate.

关 键 词：重度创伤 早期 急诊救治 

分 类 号：R641[医药卫生—外科学] R605.97[医药卫生—临床医学]