创伤早期死亡73例原因分析

目的分析急诊外科创伤早期死亡病例的原因，探讨如何提高创伤抢救的成功率。方法对我院73例创伤早期死亡比例进行回顾性分析研究。结果中青年患者为创伤早期死亡患者的主体，致伤原因主要是交通伤和工伤，48小时内主要死因是严重颅脑损伤和创伤失血性休克。结论抗休克和控制颅脑损伤是创伤早期急救的重点，要重视抢救的时间观念，缩短确定性治疗的等待时间。

Objective To analyze the cause of early death in the patients with severe trauma and to explore the management for improving the successful rescue rate of trauma.Methods Retrospective analysis was made for 73 dead cases of trauma.Results Young male adults were the high risk population.Traffic accident and industrial injury were the major causes of emergency trauma.The main causes of death within 48 hours were severe head injury and traumatic hemorrhagic shock.Conclusion The point of traumatic rescue at early stage is anti-shock and reducing the head injury.The knowledge of first aid timing should be attached and the waiting time for deterministic treatment should be shortened.