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目的:分析外科创伤患者的危险因素,改进创伤的修复与救治。方法:回顾性分析2012年1月2014年1月创伤患者修复与救治的病例,并选取性别、年龄、气管插管、清创止血、院前时间、现场评估昏迷、专业现场急救、修复等原因的指标进行分析。结果:创伤部位以头部、胸部、腹部居多;急诊创伤死亡患者以中青年为主,其中急诊创伤死亡病例以交通事故最多,为60.8%;多因素分析显示:年龄、机械通气、GCS与ISS评分及现场急救是影响创伤患者死亡危险因素。结论:创伤原因中交通伤占首位,院前、院内急救一体化可加大患者修复与救治成功率,使患者生存质量增加。
Objective: To analyze the risk factors of surgical trauma patients and to improve the repair and treatment of trauma. Methods: Retrospective analysis of January 2012 January 2014 traumatic patients repair and treatment of cases, and select gender, age, endotracheal intubation, debridement and bleeding, prehospital time, on-site assessment of coma, professional field first aid, repair and other reasons The indicators for analysis. Results: Most of the traumatic cases were head, chest and abdomen. The majority of young patients were injured in emergency trauma, of which 60.8% were emergency trauma deaths. Multivariate analysis showed that age, mechanical ventilation, GCS and ISS Scoring and on-site first aid are risk factors for death in trauma patients. Conclusion: Traffic injury accounts for the first place in traumatic injury. Pre-hospital and intra-hospital emergency integration can increase the success rate of patients’ repair and treatment, and improve the quality of life of patients.