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目的探讨创伤评分法在严重创伤患者急诊救治中的应用。方法随机抽取2010年3月至2013年1月本院急诊科接诊的213例严重创伤患者作为研究对象,采用创伤评分法对其病情进行评估,对创伤评分≥10分者予以常规救治,对创伤评分<10分者建立循环支持、予以包扎止血、骨折固定,抗休克、呼吸支持等对症治疗,监测患者脉搏、心电、呼吸、血压以及氧饱和度,观察患者治疗前后创伤评分分值的变化。结果入急诊室前,本组213例患者中创伤评分<10分者61例(28.6%),创伤评分≥10分者152例(71.4%);经救治后213例患者中创伤评分≥10分者195例(91.5%),创伤评分<10分者18例(8.5%),其中43例(20.2%)创伤评分变为≥10分,救治前后患者创伤评分情况差异有统计学意义(P<0.05);本组213例患者中5例(2.3%)创伤评分<10分者出现心搏骤停,经抢救无效病死。结论创伤评分可客观反映严重创伤患者的创伤程度,有助于医生掌握伤情,迅速采取有效的救治措施。
Objective To investigate the application of trauma score in the emergency treatment of severe trauma patients. Methods A total of 213 severe traumatic patients admitted to the emergency department of our hospital from March 2010 to January 2013 were selected as the research object. The traumatic injury score was used to evaluate the condition of the patients. Trauma score <10 points were established to support the circulation, to stop bleeding, fracture fixation, anti-shock, respiratory support and other symptomatic treatment, monitoring of patients with pulse, ECG, breathing, blood pressure and oxygen saturation, observation of patients before and after treatment of scoring score Variety. Results Before entering the emergency department, 61 patients (28.6%) had traumatic score <10 in 152 patients (71.4%) with trauma score≥10; 213 patients were treated with trauma score ≥10 195 cases (91.5%), 18 cases (8.5%) with trauma score <10 points, of which 43 cases (20.2%) had trauma score of 10 points or more, and there was significant difference in trauma scores before and after treatment (P < 0.05). Among 213 patients in this group, cardiac arrest occurred in 5 patients (2.3%) with trauma score <10, and died after rescue. Conclusion Trauma score can objectively reflect the degree of trauma in patients with severe trauma, help doctors grasp the injury and take prompt and effective treatment measures.