摘要
目的:探讨急诊外科创伤患者病死影响因素及急救方案。方法:收治创伤病死患者132例,回顾性分析其临床资料。结果:132例患者中,院前病死81例,主要创伤部位集中在胸部、腹部及头部;与其他年龄段对比,青年及中年是外科创伤的多发群体,其中20~50岁患者发病率最高(P<0.05);与高空坠落、刀具砍伤等其他因素对比,交通事故致死率最高(P<0.05);ISS评分、GCS评分、机械通气、年龄、现场急救状况是导致急诊外科创伤患者病死的影响因素。结论:现场急救水平、创伤评分及患者年龄是导致急诊外科创伤患者病死的影响因素。强化院前急救,及时确诊患者病因可有效降低病死率。
Objective:To explore the factors affecting the death of traumatic patients in the emergency surgery and the first aid scheme.Methods:132 patients with trauma and death were selected and the clinical data were reviewed.Results:Of the 132 patients,81 cases died of pre hospital,and the main trauma sites were concentrated in the chest,abdomen and head.Compared with other age groups,young and middle-aged were the multiple groups of surgical trauma.The incidence of patients aged 20 to 50 was the highest(P<0.05).The fatality rate of traffic accidents was the highest(P<0.05),compared with other factors such as high altitude falling and cutting tool cut.ISS score,GCS score,mechanical ventilation,age and scene first aid were the risk factors for the death of the trauma patients in the emergency surgery.Conclusion:The level of first aid,the score of trauma and the age of the patient were the risk factors for the death of the trauma patients in the emergency surgery,strengthening pre hospital first aid and timely diagnosis can effectively reduce the mortality rate.
作者
史未名
毛明伟
熊光福
Shi Weiming;Mao Mingwei;Xiong Guangfu(Emergency Department,the People's Hospital of Lincang City,Yunnan Province 677000)
出处
《中国社区医师》
2018年第11期15-15,17,共2页
Chinese Community Doctors
关键词
急诊外科创伤
病死影响因素
急救方案
Emergency surgery trauma
Factors affecting the death of the disease
Emergency plan
