急诊绿色通道在抢救腹部外伤并发休克的体会  

Emergency easy access in the treatment of abdominal trauma combined with shock

作　　者：吴燕生[1] 康德[1] 郭寿贵[1] 

机构地区：[1]解放军第175医院(厦门大学附属东南医院)急诊科,福建漳州363000

出　　处：《临床急诊杂志》2014年第3期159-161,共3页Journal of Clinical Emergency

摘　　要：目的:探讨急诊绿色通道在抢救腹部外伤并发休克患者中的体会。方法:回顾分析了急诊绿色通道建立近4年来220例创伤患者急救情况,以过去4年急救的100例腹部外伤并发失血性休克患者作为常规组。结果:两组基线资料具有可比性,绿色通道组120例患者死亡6例,病死率5%,常规组100例患者死亡20例,死亡率20%(P<0.05)。绿色通道组在抢救室抢救时间、特殊检查时间、入院至手术室时间较常规组明显缩短(P<0.05)。结论:急诊绿色通道的建立和完善,缩短了患者的救治空间和时间,显著降低伤死率,提高了救治成功率。Objective：The experience of emergency easy access in the treatment of abdominal trauma combined with shock patients. Method：Retrospective analysis of the treatment of 220 trauma patients in recent 4 years after the establishment of the emergency easy access. 100 cases of abdominal trauma patients combined with hemorrhagic shock were selected as controls. Result：The baseline data of the two groups of were comparable. There were 6 ca- ses of deaths in 120 patients of the emergency easy access group and the mortality rate was 5%. There were 20 ca- ses of deaths in the control group with the mortality was 20% （P〈0. 05）. The rescue time in the emergency room, the special examination time, and the time from hospitalization to operation reduced significantly than that in the conventional group（P〈0.05）. Conclusion： Establishment and improvement of the emergency easy access can shorten the treatment of patients, reduce the dead rate and improve the success rate.

关 键 词：急诊绿色通道 腹部外伤合并休克 抢救体会 

分 类 号：R441.9[医药卫生—诊断学]