镇江市院前救治291例电动车交通伤害患者的调查分析  

Analysis of Pre-hospital Treatment among Patients with Electric-Bicycle Traffic Accidents in Zhenjiang

作　　者：邱晨 樊冬雪 陈志刚 纪学颖 QIU Chen;FAN Dong-xue;CHEN Zhi-gang;JI Xue-ying(Zhenjiang Emergency Center,Zhenjiang 212003,China)

机构地区：[1]江苏省镇江市急救中心,镇江212003

出　　处：《伤害医学(电子版)》2025年第1期42-46,共5页Injury Medicine(Electronic Edition)

摘　　要：目的描述由镇江市急救中心救治的与电动车相关的道路交通事故伤害患者的流行病学特征。方法采用回顾性分析方法,描述性地分析2023年1—12月发生的所有镇江市急救中心院前救治的电动车交通事故伤害患者的临床数据,包括一般特征、伤害特征和救治措施。结果共有291例与电动车相关道路交通事故患者,其中驾驶员223例(76.6%),乘客36例(12.4%),行人32例(11.0%)。患者中位年龄32岁,范围3~68岁,男女比例为3.9∶1。最常见的电动车道路交通事故是电动车间碰撞(n=114,39.2%)。所有患者中,轻伤患者122例(41.9%),中度伤患者148例(50.9%),重度伤患者21例(7.2%)。下肢外伤最常见(n=238,81.8%),其次是上肢外伤(n=136,46.7%)和脑外伤(n=47,16.2%);有2处及以上创伤部位的患者有179例,其中轻伤患者112例。院前针对轻伤患者主要治疗措施是应用伤口敷料(n=98,87.5%)和提供鼻导管吸氧(n=83,74.1%)。而中度和重度患者最常见的干预措施是控制外出血(n=136,80.5%),其次是建立外周静脉通道输液(n=117,69.2%)。此外,83例(28.5%)患者使用了夹板固定,48例患者(16.5%)使用了颈托。结论在镇江地区,与电动车相关的交通事故伤害中,年轻男性伤患者比例较高,造成的严重创伤案例相对较少,主要是轻度和中度伤害,院前急救措施主要是止血包扎、固定等。Objective To evaluate epidemiological characteristics and treatment of patients with e-bicycles traffic accidents at the Zhenjiang Emergency Center.,Methods A retrospective analysis was used to descriptively analyze the clinical data(general characteristics,injury characteristics,and treatment measures)of all Zhenjiang Emergency Center pre-hospital patients with e-bicycle traffic injuries that occurred from January 1,2023,to December 31,2023.Results A total of 291 patients were involved in road traffic accidents(RTC)related to electric vehicles,including 223 drivers(76.6%),36 passengers(12.4%),and 32 pedestrians(11.0%).The median age of the patients is 32 years,with a range from 3 to 68 years,and the male to female ratio was 3.9:1.The most common traffic accidents involving electric-bicycles(e-bicycles)were collisions between e-bicycles(n=114,39.2%).Of all patients,122(41.9%)had minor injuries,148(50.9%)had moderate injuries,and 21(7.2%)had severe injuries.Lower extremity trauma was the most common(n=238,81.8%),followed by upper extremity trauma(n=136,46.7%)and traumatic brain injury(n=47,16.2%);179 patients had 2 or more trauma sites,of which 112 were patients with minor injuries.The main pre-hospital therapeutic measures for patients with minor injuries were the application of wound dressings(n=98,87.5%)and the provision of nasal cannula oxygen(n=83,74.1%).In contrast,the most common intervention for patients with moderate and severe injuries was control of external bleeding(n=136,80.5%),followed by establishment of peripheral venous access for fluids(n=117,69.2%).In addition,splint immobilization was used in 83 patients(28.5%),and a neck brace was used in 48 patients(16.5%).Conclusion In Zhenjiang area,e-bicycle-related traffic accidents were more common among young men,and serious trauma cases were rare,mainly mild and moderate injuries,and pre-hospital emergency measures were mainly hemostasis,bandaging and fixation.

关 键 词：电动车 院前急救 道路交通事故 

分 类 号：R641[医药卫生—外科学]