62例交通事故重型颅脑损伤患者入院前死亡因素分析及对策  

Pre-hospital analysis of death factors and management on 62 cases treatment of severe traffic accident trauma

作　　者：罗永春[1] 杨志军[1] 张洪钿[1] 戴宜武[1] 秦家振[1] 赵春平[1] 沈春森[1] 谢雪梅[2] 徐如祥[1] 

机构地区：[1]北京军区总医院神经外科,100700 [2]北京军区总医院统计室,100700

出　　处：《中国医师进修杂志》2011年第17期8-10,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的总结交通事故重型颅脑损伤致死患者的病例特点，探讨交通事故伤院前急救的方法与措施，提高交通事故伤院前救治水平。方法根据2005年1月1日至2008年12月31日因重型交通伤死亡患者的死亡报告卡检索，对62例因严重交通事故致死患者的基本资料进行分析。结果交通事故伤主因颅脑损伤死亡，在2005年占同期伤员的8．28％（13／157），而窒息、失血性休克死亡分别占2．55％（4／157）、3．18％（5／157），随着救治水平提高和获救及时，至2008年其病死率分别下降至6．11％（11／180）、0、0．56％（1／180）。结论交通事故伤应尽量缩短在院前救护的时间，特别是重型颅脑损伤合并失血性休克、窒息的患者，如能快速救治可明显降低致死率。Objective To explore the method and management of pre-hospital care and raise the level of traffic injuries in pre-hospital care by summarizing the clinical features of death patients with severe traffic accident trauma. Methods The basic data of 62 death patients with severe tragic accident trauma was analyzed according to death report statistics of severe traffic accident trauma from January 1st,2005 to December 31th, 2008. Results Brain injury death accounted for most of traffic accident trauma death. The mortality rate of brain injury in the wounded was 8.28% （ 13/157 ）, but of asphyxia and hemorrhagic shock was 2.55%（41157 ）, 3.18%（5/157 ） respectively in 2005. With the development of treatment and rescued in time, the mortality rate reduced to 6.11%（ 11/180）,0,0.56%（1/180） in 2008. Conclusions It should be trying to shorten the time of pre-hospital care for patients with traffic accident trauma, especially in patients combined with hemorrhagic shock, asphyxia, and severe brain injury. It is concluded that rapid and effective pre-hospital care can significantly reduce death rate and self-help or each other rescue training would also be effective to reduce mortality.

关 键 词：事故 交通 急救 死亡 干预性研究 

分 类 号：R65[医药卫生—外科学]