摘要
目的 探讨青藏高原道路交通伤的流行病学特点 ,寻求有效的预防高原交通事故的方法和交通伤患者的急救措施。 方法 回顾性统计分析我院 1980年 1月～ 2 0 0 0年 12月救治的有较详细记录的 1894例道路交通伤病案和门、急诊室相关登记。 结果 2 1年间 ,青藏高原道路交通伤共 1894例 ;大部分的交通伤发生在青藏公路上 ,占 68.0 % (12 88/ 1894) ;交通伤患者损伤较重 ,需要住院治疗者占 54.0 % (10 2 2 / 1894) ;患者以内地初到高原者居多 ,占 61.1% (1158/ 1894) ;死亡 10 8例 ,死亡率 5.7% ;受伤至就诊时间较长 ,平均后送时间为 6h以上 ;就诊前大多数患者无任何处理措施。 结论 高原缺氧、道路不明、疲劳驾驶是造成交通事故的主要原因 ;沿途缺乏医疗卫生机构、严重缺氧。
ObjectiveTo discuss the epidemiological characteristic s of road traffic injuries in the Qinghai-Tibet Plateau and explore effective pre ventive measures against traffic accidents in the plateau as well as correspondi ng emergency treatment methods.MethodsA retrospective statis tical analysis was carried out in 1 894 cases of traffic injuries with detailed data admitted in our hospital from January 1980 to December 2000. Resu ltsMost of the traffic accidents occurred on the Qinghai-Tibet road, accounting for 68.0% (1 288/1 894). Of the patients with serious traffic inju ries, 54.0% (1 022/1 894) were in need of hospitalization. The patients who first entered into the plateau accounted for 61.1% (1 158/ 1 894). Death occurre d in 108 cases accounting for 5.7%. The duration from injury to treatment was ve ry long, average over six hours. Furthermore, the patients received no any manag ement before treatment in the hospital. ConclusionsHypoxia i n the plateau, unclear road sign and fatigue driving are the main factors leadin g to traffic accidents. Lack of health care units, serious hypoxia, long deliver y time and carriers' deficiency in medical knowledge are the main causes for gr eat amount of casualties.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2004年第3期136-138,共3页
Chinese Journal of Trauma
