4490例创伤伤员致伤原因分析

Analysis about the cause of 4490 patients with trauma

目的:探讨创伤伤员的致伤原因,为院前急救和预检分诊提供依据,为提出预防创伤发生的策略和措施奠定基础。方法:对4490例创伤伤员的资料进行统计分析,分析不同性别、年龄和地区创伤伤员的致伤原因的异同。结果:4490例创伤伤员中中,男女比例为2.81:1。年龄特点:12～60岁组发生创伤达75.16%。6岁以下以烧伤为主要原因,占41.08%;大于60岁以上以跌落/摔伤为主要原因,占63.79%;骨折多发生于12～60岁。致伤原因:跌落/摔伤(占28.69%)、道路交通伤(占28.53%)、锐器/切割伤(占13.23%)。结论:创伤伤员的致伤原因在不同性别、年龄和地区间有着明显特点,可根据具体情况采取相应的防范措施,以减少其发生,同时为创伤伤员的院前急救和预检分诊提供依据。

Objective： This paper is to explore the causes of injuries and provide qualification for pre-hospital first aid and pre-ex-amination triage,thus lay the foundations for preventive strategies and measures of trauma Methods： 4490 patients who got trauma were analyzed.Injury causes were analyzed according to different ages,genders and areas.Results： Male＇s cases were 2.81 times as many as female＇s in the 4490 patients with trauma.Age： The trauma incidence is 75.16% among the 12～60 year group.Burns is the main cause in patients younger than 6 years old and takes up 41.08%;falling injure is the main cause in patients older than 60 years old and takes up 63.79%;fracture mostly occurred at the age of 12～60 years.Cause： falling injure（28.69%）,traffic accidents（28.53%）,sharp instrument injury（13.23%）.Conclusions： There were obvious characteristics of the causes in patients with trauma among different genders,ages and areas.The incidence could be decreased unless we take relevant preventive measure according to the circumstances,and can provide qualification for pre-hospital first aid and pre-examination triage.