10157例伤害监测患者现状分析

Analysis of Clinical Information of 10157 Patients with Harm Monitor

目的通过监测伤害患者的性质、部位、程度和结局,为医疗机构合理配置资源、提高救治效果提供依据。方法回顾分析2006.07—2009.12期间急诊科就诊的10 157例伤害监测患者的有关临床信息。结果①伤害性质软组织损伤73.44%、骨折13.94%、脑震荡/脑挫裂伤5.43%、器官系统损伤1.60%。②伤害部位四肢伤52.00%、头部伤33.84%、躯干伤7.51%。③伤害程度轻伤85.56%、中度伤16.95%、重度伤2.49%。④伤害结局治疗后回家77.70%、观察/住院/转院21.39%、死亡0.22%、其他0.69%。结论伤害监测患者是急诊科的主要救治对象,医师配置应以创伤外科、骨科、颅脑外科、普通外科为主,应提高急诊科全体医务人员心肺复苏、止血、包扎、固定、搬运的能力。有潜在危险的"轻伤"患者应提倡留院观察,有利于提高伤害监测患者的救治水平,降低死亡率。

Objective To offer evidence for doctor allocation and enhance curative effect by monitoring the character, position, degree and ending of the hurt patients. Methods The clinical information of 10157 hurt patients in emergency department, was retrospectively analyzed in this study from July 2006 to December 2009. Resuits ①The harm of soft tissue, bone, brain and organ ranked at 1st, 2nd, 3rd, 4th, the proportion of which is 73.44%, 13.94% , 5.43% , 1.60% respectively. ②The harm of arms and legs, head, trunk was the mostly, the proportion of which is 52.00% ,33.84% ,7.51% respectively. ③The proportion of slight harm, medium harm and serious harm is 80.56% , 16.95% ,2.49% respectively. ④The ending include outpatient treatment, being in hospi- tal, dying and else, the proportion of which is 77.70% ,21.39% ,0.22% ,0.69% respectively. Conclusions The monitored hurt patient is the main treatment in the emergency department, so the discipline should be give first place to wounded surgery, osteology, brain surgery, general surgery on allocating doctors. The emergency doctors should master the skill of cardio - pulmonary resuscitation, stopping bleeding, wrapping up, fastening and carrying, and advise the ＂slight＂ patient with potential danger to be treated in hospital, which is important to enhance treating level and reduce death rate.