摘要
目的探讨院外急救对多发性创伤救治成功率的影响。方法回顾分析2005年9月～2010年7月衢州市人民医院182例院外急救多发性创伤患者的临床资料。结果182例多发性创伤患者中，男性134例，女性48例，年龄在4—72岁，平均年龄33．7岁；交通事故占70．33％、机械损伤占12．64％、高处坠落伤占10．43％、爆炸伤及殴打伤占6．59％；颅脑损伤占93．93％：合并四肢骨折占51．09％、合并胸腹部损伤占26．37％、合并脊柱损伤9．34％、合并骨盆损伤占7．14％。依据CRASHPLAN顺序为伤员进行初步检查，并实施必要的院外抢救措施，34例进行了现场复苏，现场复苏率18．69％，2919例现场复苏成功，现场复苏成功率85．2955．8％；182例患者中2例当场死亡。结论多发性创伤主要发生在年青男性，受伤最主要原因为车祸伤，高效正确的院外急救能有效提高多发性创伤的抢救成功率。
Objective To analyze the clinical features of multiple traumas. Methods The clinical data of 182 patients of multiple traumas in Quzhou City, Zhejiang Province were analyzed. Results 143 of th182 patients 134 were males and 48 were females. The ages of them ranged from 4 to 72 years with an average of 33.7. Traffic accidents accounted for 70.33%, mine collapsed for 12.6%, falling from a high place for 10.43%, and explosion and fighting for 6.59%. 93.93% of the trauma involved the cranium and brain, often complicated by extremity fracture （51.09%）, thoracic and/or abdominal injury （26.37%）, spine injury （9.34%）, and pelvic injury （7.14%）. The patients were examined according to the CRASHPLAN sequence. Necessary first-aid measures were adopted. 34 cases （18.69%） underwent on-the-spot surjection and success was seen in 19 of them. Two of the 182 cases died due extremely severe injuries. Conclusion Multiple traumas occur mostly on males and young adults. Most of the multiple traumas are caused by traffic accidents. The mostly seen and mostly severe cases are the injuries of cranium and brain complicated with injuries of other body parts. Most of those who die are patients with crush injuries. The main causes of death are severe craniocerebral injuries and multiple organ failure.
出处
《中国急救复苏与灾害医学杂志》
2012年第10期900-902,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
