摘要
目的探讨近年住院创伤患者伤因、年龄构成及伤情谱变化。方法分析2000-2004年住院创伤患者临床资料并按年龄分为儿童组、青年组、中年组和老年组。按简明损伤定级标准-损伤严重程度评分(AIS-ISS)法分析本组伤情谱。结果自2000年至2004年住院创伤患者呈逐年增多趋势,中、青年组占全组病例的87%。伤因构成以交通伤占首位,中、青年组坠落伤占第二位,儿童组、老年组跌伤占第二位。轻伤(AIS＜3或ISS＜16)1335例,占57．6%,重伤(AIS≥3或,ISS≥16)984例,占42．4%。手术治疗1249例,非手术治疗1070例。死亡73例,病死率为3．14%。结论随着社会的发展,创伤的发生率亦逐年增高,青年和中年是创伤的高危人群。因此,加强交通监管,开展有效的安全教育以减少各种因素造成的创伤势在必行。
Objective To discuss the change of injury causes, ages and injury spectrum of traumatic inpatient recent years. Methods Clinical data of traumatic inpatient from 2000 to 2004 were analyzed. A total of 2 319 cases with trauma were divided into four groups： adolescent group （ 〈 13 years old）, youth group （13 -44 years old）, middle age group （45- 64 years old） and elderly group （≥ 65 years old）. Traumatic condition was evaluated by abridged injury score-injury severity score （AIS-ISS） Results From 2000 to 2004, the number of traumatic inpatient increased every year. In all cases, youth and middle age accounted for 87 %. Traffic accident was the leading cause of injury, and injury by fall from height acted as the secondary injury cause in youth group and middle age group, as well as slip fall injury in adolescent group and elderly group. Of all cases, there were slight trauma （AIS 〈 3 or ISS 〈 16） in 1 335 cases, severe trauma （AIS≥3 or ISS≥ 16） in 984 case. Operation was performed in 1 249 cases and nonoperation was performed in 1 070 cases. In all groups, 73 patients were died. The overall mortality rate was 3.14%. Conclusion With the development of society, the occurrence rate of trauma increases accordingly. The youth and middle age were high risk groups. It was necessary and urgent to strengthen the traffic administration and carry out education on safety so as to deereas the incidence of trauma caused by all kinds of factors.
出处
《中华急诊医学杂志》
CAS
CSCD
2006年第8期715-717,共3页
Chinese Journal of Emergency Medicine
关键词
创伤
伤因
年龄
伤情谱
Trauma
Injury causes
Ages
Injury spectrum
