入院前指数在院前创伤救治中的应用及其评价——附513例报告  

THE USE AND EVALUATION OF PREHOSPITAL IN DEXINPREHOSPITAL CARE OF TRAUMA: A REPORT OF 513 CASES

作　　者：陆国兴[1] 田开熙[1] 费夕丰 

机构地区：[1]重庆市急救医疗中心

出　　处：《重庆医药》1991年第4期201-203,共3页

摘　　要：本文应用入院前指数(PHI)对连续记录的513例入院前创伤病人的严重度进行评分.其中评为0～3分的轻伤375例,4～24分的重伤138例.轻伤375例中伤后24小时内手术16例,72小时内死亡5例,轻伤评定误差率为5.6%.重伤138例中伤后24小时内手术48例,72小时内死亡49例,重伤评定敏感率为70.3%.本组513例PHI的总敏感率为87.9%,总误差率为12.1%.虽然PHI是一种简便有用的入院前创伤严重度评定方法,但还存在某些不足,应进一步研究完善.The injury severities of 513 consecutive prehospital traumatic patients are determined using prehospital index (PHI) in this paper, of them, 375 are scored as minor trauma with aPHI of 0 to 3, 138 .are scored as majoi trauma with a PHI of 4 to 24. Of the 375 patients, 16 are operated on with in 24 hours after injury, five die during 72 hours atfer trauma. The misclassification rate of minor trauma is 5. 6%. Of 138 patients. 48 are op-erated on within 24 hours after injury, forty-nine die in 72 hours after trauma. The score sensitivity in major-trauma is 70. 3%. The total sensitivity and misclassification of PHI in this study are separately 87. 9% and 12. 1%. Al though PHI is an easily implemented and significant prepospital indicator of injury severity, it presents some inadequate aspects, which need to be made further strdy and improvement.

关 键 词：创伤 指数 损伤 入院前 

分 类 号：R641.04[医药卫生—外科学]