327例严重创伤院内死亡临床分析

CLINICAL ANALYSIS OF HOSPITALIZED DEATH BY SEVERE TRAUMA:A REPORT OF 327 CASES

目的分析严重创伤院内死亡病例的临床特点及高危因素,探索创伤患者的救治策略。方法对我院327例严重创伤院内死亡病例进行多因素回顾性分析。结果本组男228例,女99例,平均年龄33.71岁,致伤原因主要是交通伤(82.87%),损伤类型以颅脑损伤为主(84.71%)。3d内主要死于严重颅脑损伤、创伤失血性休克,4d以后主要死于继发性脑疝、多器官功能衰竭和各类并发症。结论增强国民的安全意识,加强交通、生产、治安等管理,尽快健全急救网络,提高医务人员对创伤患者的救治水平,是减少创伤死亡的关键。

Objective To analyze the clinical characteristics and high- risk factors of severe injured patents who died in hospital and to discuss the strategies for first aid and therapy. Methods 327 cases with severe injury who died in hospital were retrospectively analyzed on multiple factors. Results There were 228 men and 99 women as the objectives, the average age of whom was 33.71. The major injury cause was traffic hurt （82.87%） and the major type of injures was craniocerebral trauma（84.71%）. Severe craniocerebral trauma and traumatic and hemorrhagic shock taking up the major causes of death within 3 days. But many of them mainly died of secondary brain hermit, multiple organ failure or kinds of complications 4 days after injury. Conelusion The keys of reducing death rate after injuries are reinforcing people＇s security consciousness, intensifying the management of traffic, production and public order, perfecting first aid network as early as possible, and improving medical personnel＇s ability for treating injured patients.