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目的:探讨急诊一体化救治严重胸部外伤为主的多发伤的临床效果。方法:选取2013年6月—2016年3月经我院急诊治疗的严重胸部外伤为主的多发伤患者100例为本次研究对象,按照随机分组的原则分为对照组和观察组各50例。对照组患者采取既往常规方法救治;观察组患者则在急诊科立即实施一体化救治。对比两组患者的就诊治疗时间及患者的漏诊率和死亡率指标。结果:观察组患者从入院到进入手术室进行手术的时间、在急诊抢救室的救治时间明显短于对照组,漏诊率也明显低于对照组,差异具有统计学意义(P<0.05)。结论:在严重胸部外伤为主的多发伤救治过程中,在急诊科实施一体化救治能够显著提升患者的就诊治疗速度,同时降低漏诊率,值得在临床上推广。
Objective: To explore the clinical effect of emergency treatment for multiple trauma with severe thoracic trauma. Methods: 100 cases of multiple trauma patients with severe thoracic trauma who were treated by emergency department in our hospital from June 2013 to March 2016 were selected as the study object. According to the principle of randomization, 50 cases were divided into control group and observation group. Control group of patients treated by conventional methods; observation group patients in the emergency department immediately integrated treatment. Comparing the two groups of patients visiting treatment time and patient’s misdiagnosis rate and mortality index. Results: From the time of admission to the operation room, the treatment time in the emergency room was shorter in the observation group than in the control group, and the rate of misdiagnosis was also significantly lower than that in the control group (P <0.05). Conclusion: In the treatment of multiple traumatic injuries with severe thoracic trauma, the implementation of integrated treatment in emergency department can significantly improve the treatment speed of patients and reduce the rate of missed diagnosis, which is worth to be popularized clinically.