唐山地区3187例基层医院严重多发伤回顾性综合分析

A retrospective analysis of 3187 patients with severe multiple trauma from community hospitals in Tangshan

目的探讨基层医院严重多发伤的流行病学特点和伤因、伤情、救治现状、死亡原因及并发症等临床特点。方法对唐山市乐亭、滦县、唐海、迁西、迁安、丰润、玉田及遵化8所县、市级二甲医院1999年1月～2008年12月10年间收治的3 187例严重多发伤临床病例进行回顾性分析。结果基层医院严重多发伤高危人群是16～60岁的男性农民,主要伤因是交通伤、工业外伤、治安事件,时间以18∶00～20∶00、秋冬季节多发,头和四肢为创伤高发部位。最高AIS(mAIS)、损伤严重程度评分(ISS)值越高,病死率越多。结论基层医院收治的严重多发伤以男性农民发生率最高,除加强教育、采取预防措施外,医院建立院前、院内急救一体化的救治模式是提高救治效果的有效途径。

Objective To find epidemiological and clinical characteristics such as traumatic condition, traumatic causes, remedy status quo, causa mortis and complications of in-patients with severe multiple trauma. Methods Three thousand and one hundred eighty seven cases of severe multiple trauma patients from eight community hospitals in Tangshan were reviewed from January 1999 to December 2008. Results Peasants aged from 16 to 60 years were the high risk group of severe multiple trauma. Traffic accident injury, industrial injury and public security injury were the most common causes for severe multiple trauma. The higher the value of mAIS or ISS, the higher the mortality rate was. Conclusion In the patients with severe multiple trauma, male farmers have the highest incidence. It is a effective way for primary hospitals to establish an integration remedy mode including rescuing patients with severe multiple trauma from on-the-spot to in hospital besides intensive education and steps. taking preventative