摘要
目的了解高速公路交通伤的基本特点。方法采用流行病学调查方法收集１９９０－１９９６年沈阳至大连高速公路交通事故所致１１６１例次伤亡的基本资料并进行分析。结果交通伤以机械性损伤为主，但可发生烧伤及复合伤。单发伤５９１例，多发伤５２１例，随着创伤部位的增多死亡率明显增加。单发伤构成比最高的前３位依次为颅脑创伤（２７．７％）、软组织创伤（２５．５％）及四肢骨关节创伤（２３．９％）。若多部位创伤者分次重复计算，构成比最高的前３位依次为颅脑创伤（２５．４％）、四肢骨关节创伤（２５．２％）及胸心创伤（１８．９％）６全组３７６例死亡（３２．４％），死亡原因构成比最高的前３位依次为颅脑创伤（５０．４％）、胸心创伤（１７．６％）及创伤失血性休克（１２．９％）。全组１６３例致残（１４．０％）构成比最高的前３位依次为下肢截肢（２３．９％）、意识和智力障碍（２３．３％）及截瘫（１７．２％）。结论高速公路交通伤比一般道路交通伤更为严重。
Objective To Study the characteristics of highway traffic trauma. Method,The data of 1161 persons with traffic trauma injured in Shenyang-Dahan highway dUring theyear of 1990--1996 were collected throat epidelniologiCal invesbotion. Results The mainsaury was mechanical ones, but burn and colllpound trauma could be seen in few cases.Single trauma was found on 591 cases, mtiltiple trauma on 521 cases, and the mortalityincrease in the multiple trauma. The fial three kindS of common multiPle trauma werecraniarerebral saury (25.4%), OStheartictilar saury (25.2%) and thoraciC cardiac saury (18.9%).And the first three kinds of common single trauma were craniasrebral saury (27.7%), softtissue saury (25.3%) and OSteoartiCular saury (23.9%). Among them, 367 caac died. The firstthree common causes of death were craniocefebral injury (50.4%), thoracic cardiac injury(17.6%) and traumatic Shock (12.9%). Mayhem was found on 163 cases, and the first threecommon mayhem showed in lower limb amplltation (23.9%), distutbance Of conociousnes andmentalty (23.3%) and perapleda (17.2%). Conclusion Hghay traffiC trauma is more seriousthan dineral road traffic trauma.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1999年第1期54-56,共3页
Chinese Journal of Trauma
基金
国家教委留学回国人员科研启动基金!1994
No.660
关键词
高速公路
交通事故
创伤
流行病学
Highway
Accidents、 traffic
Wounds and injuries
Epidemiology
