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目的评估一体化救治模式在严重多发伤救治中的效果。方法回顾2004年4月～2009年12月间实施创伤一体化救治模式前(152例)、后(204例),共356例严重多发伤资料。结果与专科辅助急诊分流模式比较,实施一体化救治明显缩短急救时间,提高抢救成功率(71.1%vs.86.2%),降低病死率(28.9%vs.13.8%),降低致残率(50.6%vs.35.6%)(P<0.01、<0.05)。结论创伤一体化救治是一种整体化、系统化、专业化的运行模式。其核心是将创伤救治的各个部门紧密地连成一体,全程由急诊科医师负责,有力地保证了急救措施的及时、准确和高效。
Objective To evaluate the effect of integrated treatment modalities in the treatment of severe multiple trauma. Methods From April 2004 to December 2009, a total of 356 cases of severe multiple trauma were retrospectively reviewed before the trauma integrated treatment (152 cases) and after (204 cases). Results Compared with the special auxiliary emergency triage pattern, the implementation of integrated treatment significantly shortened the emergency time, improved the rescue success rate (71.1% vs.86.2%), reduced the mortality rate (28.9% vs.13.8%) and decreased the morbidity rate (50.6% vs.35.6%) (P <0.01, <0.05). Conclusion Trauma integrated treatment is a holistic, systematic and professional mode of operation. Its core is to closely integrate the various departments for the treatment of trauma, and the emergency department physicians are responsible for the whole process, effectively guaranteeing the prompt, accurate and efficient first aid measures.