危重创伤病人在急诊科的抢救(附176例病例分析)

EMERGENCY OF CRITICAL TRAUMATIC PATIENTS IN EMERGENCY DEPARTMANT: AN ANALYSIS ON 176 CASES

目的：进一步提高急诊科对危重创伤病人的抢救能力。方法：对近两年我院的急诊176例危重创伤病人进行回顾性分析研究。结果：死亡85例，占48．0％；91例经抢救0．5～6h后全部收往入院，其中81例行急诊手术抢救，死亡22例，占27．0％。结论：多发伤的死亡率明显高于单部位伤（P＜0．01～0．05）。急诊科的医师必须提高对多发伤的认识，及早明确诊断：重申及时保证呼吸道通畅，积极进行抗休克抢救的重要性；强调加强对急诊科的建设，进一步提高急诊医师、护士的抢救能力是十分必要的。

Aim: To further improve the ability of emergenct treatment for serious traumatic patients. Methods: We analyzed 176 serious traumatic patients presented to the emergency departmant during the last two years. Results:Eighty five cases (18. 0%) died in the emergency room, 91 patients were admitted after emergenct treatment for 0.5-6 hours and 81 of them underwent emergenct operations with 22 deaths (27. 0% ). Conclusion: Patients with multiple injuries had significantly higher mortality than those with single injury (P<0. 05 or P<0.01). Doctors in emergency department should deepen their understanding on multiple injuries in order to establish accurate diagnosis early. It is important to keep airway unobstructed and to give effective anti-shock treatment. We put emphasis on the importance of a well constructed emergency room as well as the improvement of emergent treatment ability of doctors and nurses.