摘要
目的:对上海市嘉定区交通事故伤进行回顾性分析,探讨院前急救交通事故伤的特点,为提高院前急救对交通事故伤的处置能力提供科学依据。方法:采用回顾性分析的方法,随机抽取嘉定区医疗急救中心收治的1402例车祸病例进行回顾分析。结果:交通事故伤损伤部位排在前三位分别为颅脑损伤、四肢外伤和多系统损伤,分别占33.2%、32.3%和15.8%;发病年龄主要集中在16~60岁的人群中,占83.1%;交通事故伤急救应急平均反应时间为9分6秒;交通事故伤发生的时间梯度主要集中在白天,高锋在12∶00~15∶00之间;发生交通事故伤最多的六条公路依次为曹安公路、浏翔公路、沪宜公路、嘉行公路、宝安公路和澄浏公路。结论:加强交通法规和交通安全教育及交通安全的监管力度,同时提高院前急救对于交通事故伤的急救能力,利用防治结合的方法,将有利于降低交通事故伤亡发生率和交通事故的致残率和致死率。
Objective:To analyze the characteristics of the cases with traffic accidents injury in Jiading district and provide scientific basic for improving the pre-hospital first aid. Method: A retrospectively study of 1 402 cases were analized for disease spectrum and their ranking analysis. Result:The top three diseases on road traffic accident injury were craniocerebral injury,limbs injury and traffic multiple injury, accounting for 33.2 %, 32.3 % and 15. 8%. The age stratified were mainly from 16 to 60 years old,accounting for 83. 1%. The response time was 9 mi-nutes and 6 seconds in prehospital first aid on the road traffic accidents injury. The occurrence time ranking was mainly in the daytime,and its top was between 12 : 00 to 15 : 00. The top six roads where traffic accidents injury happened more often were Caoan Highway, Liuxiang Road, Huyi Highway,Jiahang Road, Baoan Road and Cheng-liu Road. Conclusion:To reduce the disability rate and the fatality rate, attention should be paid to strengthen the traffic statute and safety education and supervision,and improve the ability of pre-hospital first aid on road traffic accidents injury. It is important to use the combined method of prevention and cure.
出处
《临床急诊杂志》
CAS
2013年第4期168-170,共3页
Journal of Clinical Emergency
基金
上海市嘉定区卫生局立项项目(NO:KYXM-20101215)
关键词
交通事故伤
院前急救
原因分析
防治结合
traffic accidents injury
pre-hospital first aid
cause
prevention and cure