交通事故伤的伤情特点和处理原则

Trauma in Traffic Accidents: Features of Injury and Principles for Management

我院4年半共收治交通事故伤1 164例,占同期创伤病人的37.5%,其中男758例。年龄7～89岁,行人占70.4%。多发伤389例,胸、腹伤手术率分别为2.5%、67%。363例损伤严重度评分(ISS)≥16,存活例ISS最高66。死亡率9.7%,死亡例ISS平均35.5,多死于脑伤。作者指出我国行人伤多且重,常为大车撞人,可致3次损伤;分析了部位伤特点并介绍处理经验;最后强调创伤专业化对交通事故伤救治的重要性。

During the last 4.5 year period, 1, 164 patients with traffic injuries were treated in our hospital. accountingfor 37.5% of the traumatic patients. There were 758 males and 406 females, aged 7 to 89. Of them pedestrians accounted for 70. 4%. There were 389 eases with polytrauma in this series. In the patients with thoracic or abdominal injures, operative rates were 2.5% and 67%, respectively. There were 363 cases whose ISS were over 16. The maximum ISS were 66 in the survivors. Overall mortality was 9.7% with a mean ISS of 35.5. Most deaths occurred in head injuries, The study indicated that the number of pedestrian injury was larger and the injuries were more severe in our conntry than abroad, the pedestrians were often impacted hy buses or trucks and might get injured three times (impact, fall on the ground, crushed by wheels). The authors discussed the clinical features and treatment of injuries of various sites. It is emphasized that traumatology professionalizm is important for saving patients with traffic injuries.