急诊98例严重多发伤的临床分析.docVIP

急诊98例严重多发伤的临床分析 孙涛 辽东学院医学院 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 为了探讨严重多发伤急诊早期救治的方法。对2012年7月—2015年7月急诊科救治的98例严重多发伤患者的临床资料进行分析和评价。救治的措施包括:保持呼吸道通畅、静脉通道建立并输液、监测生命体征、控制出血等。结果出现急诊死亡6例, 抢救成功率93.87%;转入相关科室后确定性治疗死亡12例, 抢救成功率86.95%;严重多发伤原因中以交通伤比例最高 (76.53%) , 其次是坠落伤 (13.26%) 和压砸伤 (7.14%) ;ISS评分与死亡率呈正相关。因此, 及时、准确的急诊救治并与相关科室合作可提高急诊抢救成功率。 关键词： 严重多发伤; 早期救治; 抢救成功率; 作者简介：孙涛 (1964—) , 男, 辽宁丹东人, 副教授, 研究方向:急诊外科学。 收稿日期：2016-11-21 Clinical analysis of 98 cases of severe multiple traumas in emergency department SUN Tao School of Medicine, Eastern Liaoning University; Abstract： In order to explore the early treatment method for severe multiple trauma, 98 cases of severe multiple traumas from July 2012 to July 2015 were analyzed and evaluated. The measures include keeping the respiratory tract unobstructed, establishing intravenous access and infusion, vital sign detection and controlling bleeding, etc. Consequently, 6 cases died in the emergency department with a rescue success rate of 93.87% and12 cases died after transferring to relevant departments and receiving definitive treatment with a rescue success rate is 86.95%. Among the traumas, the traffic injury accounted for the majority (76.53%) , followed successively by fall injury (13.26%) and injuries by compression and crashing objects (7.14%) , The ISS scores were positively correlated with the mortality. Therefore, timely and accurate emergency treatment and cooperation with relevant departments can improve the success rate of emergency rescue. Keyword： severe multiple trauma; early treatment; rescue success rate; Received： 2016-11-21 多发伤是指在同一机械致伤因素作用下, 机体同时或相继遭受两种以上解剖部位或器官的较严重损伤, 至少有一处损伤可危及生命或并发创伤性休克[1]。严重多发伤来势凶险, 伤情重变化快, 严重威胁患者的生命, 需要抓紧时间诊断和治疗。如何提高严重多发伤抢救成功率, 是急诊医学需要研究的问题。本研究回顾性分析辽东学院教学医院即丹东市第一医院急诊收治的严重多发伤病例资料报告如下。 1 临床资料 1.1 一般资料 选取丹东市第一医院急诊科2012年7月—2015年7月抢救记录记载的1262例多发伤病例, 其中严重多发伤98例 (占同期多发伤的7.82%) 。其中男性67例、女性31例;年龄12~76岁, 平均38岁;18岁以下5例 (5.10%) 、19~30岁27例 (27.55%) 、31~45