高速公路交通伤327例临床特点及急救处理

Clinical Features and Emergency Treatment of 327 Cases of Injuries from Accidents on the Expressways

目的：探讨高速公路交通伤的临床特点及其急诊抢救对策。方法：回顾性分析2003年1月-2006年4月我科接诊的资料完整的高速公路交通伤327例临床资料。结果：本组327例由128起交通事故致伤，受伤至入院时间平均2．16小时；多发联合伤253例（77．4％），其中重度多发伤192例（58．7％）。本组漏诊13例（3．9％），发生严重并发症33例（10．1％）。经积极抢救后存活294例（89．9％），其中致残45例，致残率13．8％，平均住院天数17．3天；死亡33例（10．1％），其中12例治疗无效死亡，21例现场死亡。结论：高速公路交通伤有其特征性临床经过，病情复杂危重、诊治难度大。快速、高效的现场急救，全面、细致、早期、准确的急诊处理，是提高高速公路交通伤抢救成功率的关键。

Objective ：To study clinical features and emergency treatment of injuries from accidents on the expressways. Methods： Full data of 327 cases of expressway injuries during January 2003 to April 2006 were retrospectively analyzed. Results： Of the 327 cases from 128 accidents ,who were sent to hospital within an average time of 2.16 hours ,there were 253 cases of multiple compound injuries （77.4%） ,including 192 cases （58.7%） of serious multiple injuries ,33 cases of serious complications （10%） ,294 survivals （89.9%） ,including 45 cases （ 13.8% ） being disabled. The people rescued stayed in hospital for an average time of 17.3 days. 33 cases died ,including 12 who failed the rescue and treatment and 21 （10. 1% ） being killed on the spot. Conclusion ：The features of expressway injuries are of special clinical features ,which are complicated,urgent and difficult to diagnose. The key to successful rescue of expressway injuries is quick and efficient on-the-spot rescue and comprehensive, detailed, early and accurate emergency treatment.