摘要
目的 研究创伤救治模式对创伤救治效果的影响。方法 1996 - 0 1～ 2 0 0 4 - 0 1进入急救部的创伤患者 82 71例 ,1996 - 0 1- 0 1～ 1997- 12 - 31将进入急救部的 2 0 33例创伤患者分至各专科救治并将救治的创伤患者作为分科救治的对照组 ,1998- 0 1- 0 1～ 2 0 0 4 - 0 1- 0 1将创伤患者收入创伤急救病房进行专业化的创伤救治 ,并将救治的 6 2 38例创伤患者作为专业化救治的临床组。比较和分析两组间的救治时间和救治结果。结果 不管轻伤还是重伤、单一伤还是多发伤 ,临床组的确诊时间、到急诊科至首次手术急救的时间和住院时间均明显少于对照组 ,死亡率和并发症发生率明显低于对照组。结论 创伤的救治模式对创伤患者救治的结局有明显影响 ,专业化的创伤救治明显优于创伤的分科救治。
Objective To study the effects of patterns of trauma care on the outcome of the trauma patients.Methods There were 8 271 cases for injuries to our emergency department from January 1,1996 to January 1,2004.Trauma patients(n=2 033)entering emergency department from January 1,1996 to December 31,1997 were assigned to the different surgical departments and were used as control group.Trauma patients(n=6 238) were directly admitted to the trauma department from January 1,1998 to January 1,2004 and were used as clinical group.The outcomes between these two groups were compared.Results The time spent in trauma diagnoses,the time between reaching emergency room and definitive operation,length of hospital staty,mortality and the incidence of complications in clinical group all reduced significantly regardless of mild or severe trauma,single or multiple trauma, compared with control group.Conclusion The patterns of trauma care have a significant influence on the outcome of trauma patients.Specialized trauma care is superior to other types of trauma care.
出处
《中国急救医学》
CAS
CSCD
北大核心
2005年第1期41-43,共3页
Chinese Journal of Critical Care Medicine
关键词
创伤和损伤
急救模式
结局
Wounds and injuries
Emergency patterns
Outcome
