高速公路重大交通事故院前急救体会

Experience of pre-hospital nursing for serious traffic accidents in freeway

目的探讨高速公路重大交通事故院前急救的救治经验。方法对75起高速公路重大交通事故224例伤者根据伤情轻重实施有效救治,优化院前急救流程,缩短院前急救时间。结果 110例重症伤者除1例肝叶挫伤于手术后8 d因肺动脉栓塞死亡,3人因肝脾破裂大出血救治无效死亡外,其余的患者均康复或者好转出院。结论在突发重大交通事故时实行院前急救统一指挥、统一调度、急救人员及时判断伤情,采用熟练的急救技术有效地救治,缩短急救环节的各个反应时间,可明显提高严重创伤患者的救治成功率。

Objective To explore the experience of pre-hospital nursing for traffic accidents in freeway.Methods A total of 224 injured people in 75 traffic accidents in freeway received effective rescue according to the severity of their injuries.The emergency process was optimized and pre-hospital rescue time was shortened.Results Of the 110 severely-injured patients,1 died of the pulmonary embolism 8 days after the operation on contund liver and 3 died of hemorrhea because of rupture of liver and spleen,while all the other patients were recovered or discharged with improvement.Conclusion The achievement ratio of emergency medical treatment can be markedly increased through unified command and assignment,prompt judgment of the pathogenetic condition,effective treatment and shortened rescue time.