急救“绿色通道”新模式在交通伤救治中的作用探讨

Role of new emergency mode ＂Green track＂ in treatment of traffic injuries

目的 探讨急救＂绿色通道＂新模式在交通伤救治中的作用.方法 回顾性分析经院前急救＂绿色通道＂与院内救治的2 947例交通伤患者的临床特点,对院前、院内救治方法与效果进行分析.结果 2 947例患者中,2 089例手术治疗,858例非手术治疗,以颅脑及四肢受伤为主,伤后1 h以内入院1 874例（占63.6%）.共抢救成功2 736例,成功率为92.8%,死亡211例,死亡率为7.2%.结论 交通伤院前与院内急救＂绿色通道＂新模式显著提高了交通伤的救治成功率,减少了死亡率.

Objective To explore the role of new emergency mode ＂Green track＂ in treatment on traffic injuries. Methods The data of 2 947 patients with traffic injuries rescued by prehospital emergency ＂green track＂ and inhospital emergency treatment from March 1998 to January 2009 were retrospectively studied in aspects of prehospital and inhospital treatment methods and their results. Results Of all patients, 2 089 patients were treated surgically and 858 patients treated conservatively, in which 2 736 patients （92.8%） were cured but 211 （7.2%） died, with mortality rate of 7.2%. Head, face and limbs were the main injury parts. Of all, 1 874 patients （63.6% ） were admitted into the hospital within one hour after injury. Conclusions The new emergency mode ＂Green track＂ , either prehospital or inhospital, can markedly improve success rate of treatment for traffic injuries, increase survival rate and is of importance to be clinically applied.