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目的探讨创伤重度程度评分法对老年创伤患者急诊救治中的应用效果和安全性,旨在为规范老年创伤患者急诊救治治疗方案提供参考依据。方法选择2010年3月至2012年3月在我院急诊治疗的126例老年创伤急诊救治患者为研究对象,创伤重度程度评分(TRISS)法应用于老年创伤急诊救治患者,比较不同Ps值组老年创伤急诊救治患者死亡率比较。结果 Ps值为0.00~0.29的老年创伤急诊救治患者有24例,19例患者死亡,死亡率为79.17%;Ps值为0.30~0.49的老年创伤急诊救治患者有37例,19例患者死亡,死亡率为51.35%;Ps值为0.50~0.79的老年创伤急诊救治患者有48例,9例患者死亡,死亡率为18.75%;Ps值为0.80~0.99的老年创伤急诊救治患者有17例,1例患者死亡,死亡率为5.88%,Ps值为0.00~0.29的老年创伤急诊救治患者与其他各Ps值组比较差异有统计学意义(P<0.05)。结论创伤重度程度评分法能够指导老年创伤急诊救治患者,帮助判定老年创伤急诊救治患者的伤情,能够提高创伤的急诊救治水平,值得进一步推广,促进我国急诊医疗事业的快速发展。
Objective To explore the application and safety of scoring method in the emergency treatment of senile trauma patients and to provide a reference for regulating emergency treatment and treatment of senile trauma patients. Methods A total of 126 elderly patients with acute trauma who were treated in our hospital from March 2010 to March 2012 were selected as the research object. The TRISS method was applied to the elderly patients with traumatic emergency treatment. The elderly with different Ps values Emergency treatment of patients with trauma mortality comparison. Results Twenty-four elderly patients were treated with Ps ranging from 0.00 to 0.29. Nineteen patients died, with a mortality rate of 79.17%. Thirty-seven patients were treated with emergency traumatic trauma from 0.30 to 0.49, and 19 patients died and died Rate was 51.35%; 48 cases of elderly traumatic emergency treatment with Ps value of 0.50 ~ 0.79, 9 patients died, the mortality rate was 18.75%; 17 cases of elderly traumatic emergency treatment with Ps value of 0.80 ~ 0.99, 1 case The death rate of patients with acute traumatic injury was 5.88%, and the Ps value was 0.00 ~ 0.29. There were significant differences between the two groups (P <0.05). Conclusion The scoring method can guide the emergency treatment of senile trauma patients and help to determine the emergency treatment of senile trauma patients. It can improve the emergency treatment of trauma and is worth further promotion to promote the rapid development of emergency medical service in our country.