摘要
目的:通过对交通事故现场死亡发生特点及影响因素分析,为交通事故院前急救干预策略提供科学依据。方法:根据昆明医学院司法鉴定中心2004年昆明地区道路交通事故死亡366例法医病理鉴定资料,对交通事故死亡者进行影响因素的单因素与非条件Logistic回归分析。结果:366例中现场死亡202例(55.19%),影响现场死亡的危险因素的相关危险度OR值分别为脊柱骨折(7.56)、骨盆骨折(6.04)、头颈部软组织损伤(4.78)、面骨骨折(2.87)、颅骨骨折(2.64)。结论:脊柱损伤及其复合伤是昆明地区道路交通事故现场死亡最大危险因素之一,对急救人员进行脊柱及其复合伤的专业培训可能是该地区现场死亡有效干预措施之一。
Objective： To study the risk factor of death on the spot on road traffic accident and provide the intervention strategy to reduce mortality on the spot. Methods： Unconditional Logistic regression analysis was used to explain the relationship between death on road traffic accident and body injuries. The retrospective statistical studies were carried out in 366 cases of death on road traffic accident in 2004 year, which is admitted in the Judicial Expertise Center of Kunming Medical College. Result： The cases of death on the spot were 55.2% in the 366 cases, the risk factor between death on the spot and body injuries（OR） is spine fracture（7.56）, pelvic fracture（6.04）, pate injuries（4.78）, fracture of facial bones（2.87） and fracture of skull（2.64）. Conclusion： The spinal injuries were important risk factors of death on the spot on road traffic accident. Professional training of emergency care personnel may be an effective interventional strategy in Kunming area.
出处
《交通医学》
2009年第2期122-124,共3页
Medical Journal of Communications
