严重创伤院内急救的时效性探讨  

Time efficiency of first-aid to severe trauma

作　　者：姚元章[1] 孙士锦[1] 谭浩[1] 王韬[1] 沈康强[1] 陈智[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：《创伤外科杂志》2011年第2期103-106,共4页Journal of Traumatic Surgery

基　　金：全军医学科研"十一五"计划专项课题(08Z024)

摘　　要：目的探讨严重创伤急救的时效性对创伤救治的指导意义。方法回顾分析我院2006年1月～2010年12月进入严重创伤院内急救绿色通道的病例资料,记录院内救治的急诊科处理时间及检查时间、路途消耗时间及手术室准备时间等,计算出患者入院至手术室的时间和入院到确定性治疗时间,比较各年度的差异。结果伤后平均入院时间为207分钟,急诊科处理时间和入院至手术室时间逐年缩短(P<0.05),分别为22.08分钟和60.46分钟,入院至确定性治疗的的时间为93.39分钟。死亡19例(9.31%),救治成功率为92.87%。结论在现有急救模式下,要达到在伤后1小时内给予患者确定性治疗的目标,难度较大;在严重创伤院内急救中,使用"零通过时间"理念,来评价创伤救治时间与救治效果之间的关系较为妥当。Objective To discuss the guidance significance of time efficiency of first aid in the trauma treatment.Methods Patients admitted into our hospital from Jan.2006 to Dec.2010 were reviewed,who were taken emergency treatment by applying fast track.The time in different treatment periods was recorded and compared.Results The average admission time was 207 minutes.The emergency treatment time and the time from admission to reaching operation room was 22.08 minutes and 60.46 minutes respectively,which decreased year by year（P〈0.05）.The time from admission to taking definitive treatment was 93.39 minutes.There were 19 deaths,with success rate of 92.87%.Generally,the time in different emergency treatment periods was longer than the ＂golden hour＂.Conclusion In the recent emergency mode,it＇s difficult to take definitive treatment within 1 hour.For the in-hospital treatment of severe trauma,it＇s appropriate to apply ＂rapid response protocol＂ concept to evaluate the relation between the trauma treatment time and treatment effect.

关 键 词：创伤 急救 时效性 

分 类 号：R64[医药卫生—外科学] R605.97[医药卫生—临床医学]