摘要
目的:探讨急诊外科创伤患者死亡的危险因素及急救措施。方法:选取2020年1月-2021年12月澧县人民医院收治的172例创伤患者为研究对象,根据是否存活分为观察组和对照组。对照组114例为存活患者,观察组58例为死亡患者,分析急诊外科创伤患者死亡的危险因素。结果:两组性别、创伤原因、机械通气情况比较,差异无统计学意义(P>0.05);两组年龄、就诊时间、损伤部位数、呼吸系统感染、体温、现场急救时间、损伤严重程度(ISS)评分、格拉斯哥昏迷评分(GCS)比较,差异有统计学意义(P<0.05)。年龄≥50岁、现场急救不规范、就诊时间≥3 h、损伤部位≥5处、ISS评分≥25分、GCS评分≥7分是患者死亡的独立危险因素,差异有统计学意义(P<0.05)。结论:急诊外科创伤患者死亡的危险因素较多,临床应针对高危因素优化和改进急救措施,提高急救质量,降低病死率。
Objective:To explore the risk factors of death and first aid measures in emergency surgical trauma patients.Methods:A total of 172 trauma patients admitted to Lixian People's Hospital from January 2020 to December 2021 were selected as the study subjects.According to whether they survived,the patients were divided into observation group and control group:114 patients in the control group were survived patients,and 58 patients in the observation group were dead patients.The risk factors of death in emergency surgical trauma patients were analyzed.Results:There were no significant differences in gender,trauma causes and mechanical ventilation between the two groups(P>0.05);there were significant differences in age,visit time,number of injured sites,respiratory tract infection,body temperature,field first aid time,injury severity score(ISS)and Glasgow coma score(GCS)score between the two groups(P<0.05).The age≥50 years,non-standard field first aid,visit time≥3 h,injury site≥5,ISS score≥25 points,GCS score≥7 points were independent risk factors for death of patients,and the difference was statistically significant(P<0.05).Conclusion:There are many risk factors for death in patients with emergency surgical trauma.It is necessary to optimize and improve first aid measures according to the high risk factors,so as to improve the quality of first aid and reduce the fatality rate.
作者
李波
皮高兴
Li Bo;Pi Gao-xing(Emergency Department of Lixian People's Hospital,Changde 415500,Hunan Province,China)
出处
《中国社区医师》
2022年第33期19-21,共3页
Chinese Community Doctors
关键词
急诊外科
创伤
危险因素
急救措施
Emergency surgery
Trauma
Risk factors
First aid measures
