严重创伤急救最佳医疗效果的探讨

Exploration on the best first-aid effect of severe trauma

1520例车祸所致严重创伤,其部位以骨折(39.1％)、复合伤(22.3％)、腹部伤(16.8％)最多,伴有休克者806例(53％),需紧急手术者1473例(96.9％)。死亡46例(3％),其中伤后1小时内死亡31例(67.4％)。我们采用CRASH—PLAN检诊计划检诊,最大限度避免漏诊,提高了抢救成功率。提出医护人员在抢救严重创伤时应有高度的紧迫感和责任感,最大限度地争取抢救时机,提高严重创伤的急救医疗效果。

One thousand five hundreds and twenty cases of severe trauma caused by traffic accident were reported. Among of them, fracture accounted for 39. 1 %, compound injury for 22. 3%. abdomen injury for 16. 8%,and 806 patients complicated with shock and 1474 patients needed to operate immediately,46 patients died and 3% mortality. Thirty-one patients(67. 4%)died within one hour after wounded. Using CRASHPLAN examination and diagnosis plan,missed diagnosis may be decreased minimum and the rate of succes can be increased. It is proposed that the doctors and nurses should have well sense of duty and win over rescue chance at their earlist convenience to obtain the best first-aid effect of severe trauma during emergency treatment.