论文部分内容阅读
目的探讨重度创伤患者早期急诊救治,降低死亡率的方法。方法回顾性分析2004年1月-2008年12月上海市浦东新区公利医院早期急诊救治1 020例重度创伤的临床资料。结果本组重度创伤(ISS≥16分)病例共1 020例,其中男性715例,女性305例。年龄16～92岁,以45岁以下为主,占68.8%。创伤原因主要为交通伤(67.2%)、坠落伤(17.5%),创伤部位以颅脑外伤(32.8%)居多,老年人脊柱四肢损伤明显升高,但不同年份间受伤者年龄、受伤部位、致伤原因的比较,差异无统计学意义。结论青壮年是重度创伤的主要受害者,交通伤是严重创伤的主要原因。提高急救水平有利于提高患者的生存率。
Objective To investigate the early emergency treatment of severe trauma patients and reduce the mortality rate. Methods The clinical data of 1 020 cases of severe trauma treated by early emergency treatment at Gongli Hospital of Pudong New Area in Shanghai from January 2004 to December 2008 were retrospectively analyzed. Results A total of 1 020 cases of severe trauma (ISS≥16 points) were found in this group, including 715 males and 305 females. The age of 16 to 92 years old, mainly to 45 years of age, accounting for 68.8%. The main causes of trauma were traffic injuries (67.2%), crashes (17.5%), traumatic brain injury (32.8%), and spine limbs injuries in the elderly were significantly increased. However, the age, injured area, The causes of injury compared, the difference was not statistically significant. Conclusion Young adults are the major victims of severe trauma. Traffic injury is the major cause of severe trauma. Improve the level of emergency help to improve the survival rate of patients.