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目的探讨高速公路交通事故伤的伤情特点、院前急救情况,提高院前救治的成功率。方法回顾分析医院急诊科对在G75线兰海高速公路钦州市路段发生交通事故创伤362例伤员实行的院前救治病例资料,并对损伤特点及救治疗效进行归纳总结。结果 304例伤员经急救处理,安全转送回院进一步治疗,占83.97%,现场及途中抢救无效死亡58例,占16.02%。损伤部位发生率依次为四肢、头颅、胸部、面部、脊椎、骨盆及腹部。结论高速公路创伤因事故发生时速度快、能量大,所造成的伤情复杂,致残率、死亡率高,提高临床救治质量的前提要素是加强早期临床干预力度,实施快速有效的院前救护措施和安全转运,提高院前救治效果。
Objective To explore the injury characteristics of highway traffic accidents, the pre-hospital emergency situation and improve the success rate of pre-hospital treatment. Methods A retrospective analysis of hospital emergency department on the G75 line Lanhai Expressway Qinzhou section of traffic accidents occurred in 362 cases of wounded patients prehospital information on the treatment and injury characteristics and the efficacy of treatment were summarized. Results 304 patients were treated by first aid and safely transferred to hospital for further treatment, accounting for 83.97%. There were 58 deaths or invalid cases on the spot and on the way, accounting for 16.02%. The incidence of injury site followed by limbs, head, chest, face, spine, pelvis and abdomen. Conclusion The traumatic injury of expressway is characterized by high speed, high energy, complex injury, high disability and high mortality rate. The prerequisite for improving the quality of clinical treatment is to strengthen early clinical intervention and implement rapid and effective pre-hospital rescue Measures and safe transit, improve pre-hospital treatment effect.