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目的了解外伤患者致伤原因和受伤时间分布情况,为急救该类患者提供帮助。方法通过2003.1-2005.3本科出诊收治的外伤患者共2055例的资料,分析致伤原因以及受伤和死亡时间段。结果①2055例中共死亡39例,病死率为1.9%。②723例(占35.2%)为普通外伤,坠落伤32例(占4.4%):坠落伤现场死亡12例,途中及急诊科死亡6例。③1332例(占64.8%)为交通伤,其中与自行车、电动车和摩托车有关的456例(占34.2%)中死亡13例。交通伤中有566例(42.5%),发生于18:00～0:00时,且酒后驾车人员肇事298例(占52.7%)。结论坠落伤和交通伤是患者死亡最主要的原因,特别是建筑工地的坠落伤较为常见,应加强建筑企业及工人的安全防范意识。交通伤中与电动车有关的损伤及死亡越来越多,应限制其车速,酒后驾车为夜间交通伤的主要原因,应加强监管力度。
Objective To understand the causes of injury and the distribution of the time of injury in traumatic patients and to provide assistance for the emergency treatment of such patients. Methods A total of 2055 cases of traumatic patients admitted from 2003.1-2005.3 were analyzed to analyze the cause of injury and the time of injury and death. Results ①2055 cases of CPC death in 39 cases, the mortality rate was 1.9%. ② 723 cases (35.2%) were ordinary trauma and 32 cases (4.4%) were crashes: 12 cases were killed on the scene of fall injury and 6 cases died on the way and in the emergency department. ③ 1332 cases (64.8%) were traffic injuries, among which 456 (34.2%) were related to bicycles, electric cars and motorcycles, of which 13 died. There were 566 cases (42.5%) of traffic injuries occurred between 18:00 and 0:00, and 298 cases (52.7%) caused drunk driving accidents. Conclusions Fall injuries and traffic injuries are the most important causes of death. In particular, falling injuries on construction sites are more common. Safety awareness of construction enterprises and workers should be strengthened. Traffic injuries and electric vehicles in the injury and death more and more, should be limited to its speed, drunk driving as the main reason for traffic injuries at night, should strengthen supervision.