1168例道路交通事故伤院外救治分析

Characteristics and pre-hospital treatment of road traffic accident： analysis of 1168 cases in Changzhou, Jiangsu Province

目的探讨道路交通事故伤的特点和院外救治。方法回顾性分析常州市医疗急救中心2001年－2006年间院外救治陆地交通事故伤1168例的临床资料。结果74．57％的道路交通事故伤者年龄在21～60岁。四肢骨折的患者占伤者总数的35．96％。头颅外伤患者的病死率最高，达79，01％（143／181）。仅7．96％（93／1168）的伤者能在10min内得到救治，56，25％（657／1162）的伤者在20min以后才得到救治，其中481例在农村，176例在高速公路。总病死率为17．81％，20min方得到救治者病死率为21．77％，显著高于10～20min内即得到救治者（13．64％，P〈0．05）和10min内即得到救治者（8．60ek，P〈0．05）。结论应合理规划急救分站的分布，缩短抢救半径，以提高道路交通事故伤的抢救成功率。

Objective To investigate the characteristics and pre-hospital treatment of road traffic accident. Methods The clinical data of 1168 cases of road traffic accident in Changzhou 2001-2006 were retrospectively analyzed. Results 74.57% of the wounded were aged 21-60. The patients with fracture in extremities accounted for 35.96%. The mortality of the head trauma patients was the highest （79.01%, 143/181）. Only 7.96% （93/1168） of the wounded persons could get treatment within 20 min, and 56.25% （ 657/1162）of them got treatment after 20 rain, among which 481 cases were in the rural areas and 176 cases were on the expressway. The total mortality of these wounded persons was 17.21%, and the mortality of those who got treatment after 20 rain was 21.77%, significantly higher than those of the wounded who got treatment during the period of 10 to 20 rain（ 13.64%, P〈 0.05） and within 10 min （ 8.60%, P〈 0.05 ）. Conclusion The distribution of emergency stations should be made more rational. The rescue radius should be shortened so as to increase the rescue rate. The rescue awareness of the masses needs to be raised.