交通工具伤的急诊处理与监护(附340例分析)

EMERGENCY RESCUE AND MONITORING FOR TRAFFIC INJURIES WITH ANALYSIS OF 340 CASES

统计分析了340例交通工具伤的流行病学及临床资料。结果表明，年龄在20－50岁的男性是发生率构成比最高的，应列为高危人群。伤后2小时是抢救的黄金时间，也是死亡高峰期。主要死因依次为颅脑伤、合并有胸腹损伤的多发伤。加强院前急救，应尽早开始基础生命支持和抗休克处理。对致死致残率高的严重脊柱和肢体伤要做好应急救治和监护。对高危人群应有针对性地制定和实施某些公共卫生政策，采取必要的预防和监护措施。要强调预防和安全教育的重要意义。

An epidemiological and clinical data of 340 cases of multiple traffic injuries were analyzed. The results showed that the high incidence was in the male of 20- 50 years of age and those should be rated as high risk group; 2 hours after injury was the optimal time for rescue and also the peak time of death; the main causes of death were craniocerebral injuries, multiple injuries associated with chest and /or abdomen injuries in sequence. The author put forward that various kinds of basic lif e support and antishock treatment should be started as early as possible. The first aid prior to admission should be enhanced. The emergency rescue and monitoring should be done well for the severe injuries of spine and limbs that tend to have a high lethality and disability rate. Some pertinent public health policies should be formulated and carried out for the high risk group. Some neccessary preventive and protective measures should be taken. The important role in prevention and safety education must be emphasized.