急救小组救治重度创伤的效果分析

Clinical Study of Emergency Trauma Team to Treat Severe Trauma

目的探讨成立创伤急救小组救治重度创伤的临床效果。方法回顾分析比较成立急救小组前、后各2年救治重度创伤(ISS评分≥16分)的临床效果。结果成立创伤急救小组前2年(2002年1月1日—2003年12月31日)共抢救、收治重度创伤388例,ISS评分25.9±6.4,死亡152例,死亡率为39.2%,死亡率20.4%。抢救室抢救时间、入院至急诊手术时间分别为102.8±16.7min、140.3±20.6min。成立创伤急救小组后2年(2004年1月1日—2005年12月31日)共抢救、收治重度创伤438例,ISS评分28.6±7.8,死亡87例,死亡率为19.9%,死亡率为7.1%,抢救室抢救时间、入院至急诊手术时间分别为69.5±11.5min、89.6±9.3min两组ISS评分无显著差异,P>0.05,死亡率、抢救时间、入院距手术时间均有显著差异,P<0.05,成立急救小组后较成立之前均明显降低。结论成立创伤急救小组救治重度创伤能缩短抢救时间,降低死亡率。

OBJECTIVE To study the effect of emergency trauma team to treat severe trauma （ Injury severity score ≥ 16）. METHODS Retrospectively analyzing and comparing the clinical effect of 2 years before and after establishing emergency trauma team. First reception doctor （senior attending or associate chief doctor） was responsible for emergency trauma team. RESULTS Two years （from January 1, 2002, to December 31, 2003） before establishing emergency trauma team, treating severe trauma 388 cases, ISS was 25.9± 6.4, 152 cases died, the mortality was 39.2%, the time in emergency room and the time to operation room were 102.8±16.7 min, 140.3±20.6 min respectively. Two years （from January 1, 2004, to December 31, 2005） after establishing emergency trauma team, treating severe trauma 438 cases, ISS was 28.6±7.8, 87 cases died, the mortality was 19.9%, the time in emergency room and the time to operation room were 69.5±11.5 min, 89.6±9.3 rain respectively. ISS showed no significant difference between two groups, P〉 0.05, but the mortality, the time in emergency room and the time to operation room showed significant difference between two groups, P〈0.05, all decreased significantly after establishing emergency trauma team. CONCLUSIONS Establishing emergency trauma team to treat severe trauma can shorten emergency time and decrease mortality.