摘要
目的总结老年胸外伤患者院前急救经验。方法 60岁以上老年胸外伤患者78例,年龄60～89岁,平均(68.9±4.1)岁。致伤原因中跌伤与交通意外伤占80%;伤情分类中肋骨骨折发生率高达77%,约1/3合并有不同程度的头颅外伤;合并症中以心脑血管病为多。所有患者均在现场抢救后车载转送医院。结果呼救反应时间2～35min,平均(9.7±3.7)min;院前时间16min～4.5h,平均(38.5±9.5)min。无现场死亡及转送死亡;院内死亡5例,病死率为6.4%。结论只要掌握老年人胸部外伤的特点,进行快速、有效的院前干预,就能为进一步救治打下良好基础,为降低病死率和伤残率创造有利条件。
Objective To summarize the experiences in prehospital care of elderly patients with thoracic trauma. Methods Seventy-eight patients with thoracic trauma,aged 60-89 （68.9±4.1） years,were transported to the hospital after pre-hospital emergency treatment. The traffic accidents and high falling were the two leading causes,which accounted for 80% of all trauma cases. The rib fracture accounted for 77%,1/3 of which also suffered head injury. Cardiovascular and cerebrovascular sequelae were the most common complications. Results Five cases dead in hospital （6.4%）,and no case dead on-scene or during transportation. The reflex time of first-aid ranged 2-35（9.7±3.7）min,and the prehospital time duration ranged 16 min-4.5 h（38.5±9.5） min. Conclusion Knowledge about characteristics of thoracic trauma in elderly patients and rapid and effective prehospital care are critical to improve the outcome of elderly patients with thoracic trauma.
出处
《中华老年多器官疾病杂志》
2010年第3期230-231,236,共3页
Chinese Journal of Multiple Organ Diseases in the Elderly
