多发伤在急诊科的急救与护理

First aid and nursing of polytraumatisms in emergency department

目的探讨标准化急救流程对多发伤患者在急诊科的急救和护理效果。方法对创伤严重度评分（ISS）大于16分的408例病人分为研究组（215例）采用标准化急救流程救治，和对照组（193例）应用传统救治方法救治，比较两组的有效抢救时间及死亡率。结果研究组与对照组的有效抢救时间分别为（46．72±9．22）分和（66．29±3．10）分。死亡率分别为18％和24％。结论在急诊科采用标准化急救流程救治多发伤病人能明显提高抢救效率，降低病死率。

Objective To evaluate the nursing efficacy of standardized rescuing flowsheet （SRF） in polytrauma in Emergency Department. Method 408 patients with polytraumatisms, whose Injury Severity Score （ISS） more than 16, were divided into Research Group（215cases） in SRF, and Control Group（193cases） in routine nursing, as comparing the two groups of effective rescue time and mortality. Results The effective rescue time were （46.72±9.22）min in Research Group and（66.29 ± 3.10）min in Control Group. The mortality were A and B ,respectively. Conclsions SRF can significantly improve the rescuing efficiency and reduce mortality in polytrauma patiens.