2200例腹部创伤住院患者流行病学分析  

Analysis of epidemiological characteristics of 2200 abdominal trauma hospitalized patients

作　　者：黄小兰[1] 陈仿[1] 代喆[1] 

机构地区：[1]四川省人民医院急救中心外科,四川成都610072

出　　处：《四川医学》2012年第8期1471-1473,共3页Sichuan Medical Journal

摘　　要：目的调查腹部创伤流行病学特征及影响因素,为制定预防和干预措施提供科学依据。方法回顾分析2005年1月～2010年12月在四川省急救中心外科2200例腹部创伤住院患者的流行病学资料。结果腹部创伤造成腹腔脏器损伤者1908例(86.72%),≥2个腹腔脏器损伤921例(41.86%),APACHEⅡ评分>11分1603例(72.86%)。常见腹腔脏器损伤为:脾脏(924例42.2%)、肝脏(717例32.6%)。外伤发生地点:普通公路、公共场所、工地居多。腹部创伤发生的主要原因为道路交通伤、锐器伤。以青壮年人群为最多,男性发病率明显高于女性。患者以生产工人为主(53.27%),多发伤647例,占29.40%,死亡85例占3.86%。结论腹部创伤的发生在发病年龄、职业、地点、原因、受伤脏器等方面存在一定的规律性,针对高危人群采取预防和干预措施,可有效降低发病率和病死率。Objective To study the epidemiologic characteristics and influencing factors of abdominal trauma, to provide some reference for making prevention and intervention measures. Methods The epidemiologic data of 2200 abdominal trauma hospitalized patients were retrospective analyzed in surgical emergency center in Sichuan Province from 2005.1 to 2010. 12. Resuits Abdominal trauma caused by abdominal organ injury in 1908 cases （86.72%）, more than 2 of abdominal organ injury in 921 cases （ 41.86% ）, APACHE 11 〉 11 points in 1603 cases （ 72. 86% ）. Abdcminal viscera injury organs were spleen （924cases42.2%） and liver （717cases32. 6% ）. The trauma happened mostly on highway, public locations and construction sites. The chief traumatic causes were traffic accident, sharps wound. To young people as most men, the incidence was signifi- cantly higher than women. Patients were mainly production workers （53.27%）. 647 cases were multiple injuries, accounting for 29.40%, 85cases dead accounted for 3. 86%. Conclusion There is certain regularity in the age, occupation, place, reason of the injured and organ etc of abdominal trauma. Take preventive and intervention measures targeting high-risk groups, can effec- tively reduce the morbidity and mortality.

关 键 词：腹部创伤 流行病学 

分 类 号：R656.1[医药卫生—急诊医学]