206例严重创伤患者救治分析  

Clinical Analysis of 206 Patients with Severe Trauma in Emergency Department

作　　者：钟桂年[1] 罗朝汉 吴登锋 莫超连[1] 

机构地区：[1]高州市人民医院,广东茂名525200

出　　处：《黑龙江医学》2017年第9期832-834,共3页Heilongjiang Medical Journal

基　　金：茂名市科技局项目(20140331)

摘　　要：目的总结206例严重创伤患者临床资料、救治方法、救治效果。方法选取高州市人民医院2014-01—2016-12间急诊科收治的206例严重创伤患者,按照年龄分为<20岁组、20~39岁组、40~59岁组、≥60岁组,比较不同组别的多发伤、ISS评分及死亡情况;按照预后分为死亡组、伤残组、治愈组,比较急诊滞留时间、休克比例、抢救次数、重型颅脑损伤及胸腹外伤比例。结果≥60岁组的严重创伤患者多发伤、ISS评分及死亡率显著高于<20岁组、20~39岁组、40~59岁组,差异有统计学意义(P<0.05);死亡组、伤残组、治愈组的急诊滞留时间、休克比例、抢救次数、重型颅脑损伤比例均依次降低,两两比较,差异有统计学意义(P<0.05);伤残组与死亡组合并胸腹外伤比例显著高于治愈组,差异有统计学意义(P<0.05)。结论老年严重创伤患者伤情严重、死亡率高;死亡及伤残严重创伤患者以急诊滞留时间长、休克比例、重型颅脑损伤比例及合并胸腹外伤比例高为特点,急诊救治关键应加强病情检查,抓住"黄金1小时"和"白金10分钟",早期实施手术。Objective To summarize the clinical data rescue method and rescue effect of 206 cases with severe trauma patients in Emergency Department. Methods 206 cases of severe trauma patients from January, 2014 to December, 2016 from Gaozhou City People＇s Hospital Emergency Department were regarded as subjects, and according to age, they were divided into 〈 20 years old, 20 ~39 years old, 40 -59 years old, and i〉 60 years old group. The multiple injuries, ISS scores and death rate were compared. According to the prognosis, they were divided into the death group, disability group and cure group. The time of staying in the Emer- gency Department, the shock, the number of rescue times, severe head injury, and chest and abdominal trauma ratio were com- pared. Results /〉 60 years old patients with severe trauma injury were significantly higher than the age 〈 20 years old, 20 ~ 39 years old and 40 - 59 years old group （ P 〈 0. 05 ） ; the time of staying in the Emergency Department, the shock, the number of res- cue times, severe head injury of the death group, disabled group and the cure group were down in turn （ P 〈 0. 05 ）. The proportion of thoracic and abdominal trauma was significantly higher than that of the cured group （ P 〈 0. 05 ）. Conclusion The elderly patients with severe trauma and severe trauma were with severe injury and high mortality. The patients with severe trauma and severe trauma were characterized by the long duration of emergency stay, the high proportion of shock, severe cranioeerebral injury and thoracic and abdominal trauma. The key of emergency treatment should be strengthened, grip attention to ＂gold 1 hour＂ and ＂platinum 10 mi- nutes＂, and early surgery should be emphasized.

关 键 词：急诊 严重创伤 救治 预后 

分 类 号：R459.7[医药卫生—急诊医学]