严重创伤1682例急诊救治的临床分析

A Study of the Clinical Analysis of 1682 Cases of Emergency Treatment with Severe Trauma

目的对严重创伤患者进行急诊救治的临床效果进行分析总结。方法对该院2007年5月—2012年10月收治的1682例严重创伤急诊患者进行调查和数据统计,并对结果进行分析。结果 1682例严重创伤患者的创伤评分(TS)为(13.6±3.2);创伤的严重程度评分为(ISS)为(20.2±11.5);格拉斯哥昏迷评分为(GCS)(122±3.3)。其中病因主要为交通意外伤害、打架斗殴、工伤、跌落伤等。共有699例患者出现了休克,经过及时的抢救和治疗,有93.3%的患者成功脱险,抢救成功的患者占87.7%。结论打架斗殴、意外的交通伤害、工伤等事故是导致严重创伤的主要原因,进行及时正确的治疗,并在最短的时间内对患者进行科学合理的抢救,可以减少患者的死亡率,增加患者生存的机会。

Objective Study the clinical analysis of 1682 cases of emergency treatment with severe trauma. Methods Selecting 1682 cases of patients with severe trauma in hospital from May, 2007-October, 2012, statistical data was investigated, and the results were analyzed. Results The score of 1682 cases of patients with severe trauma （TS） was （ 13.6± 3.2） ; the score of severity on trauma （ISS） was （20.2 ± 1l.5） ; the score for Glasgow Coma Scale （GCS）was （122 ± 3.3）. The main causes were traffic accidents, fights, inductrial injury and falling injury. And there were 699 patients developed shock, while after the timely rescue and treatment, 93.3% of patients managed to escape, 87.7% patients got the successful rescue. Conclusion The fights, traffic accident damage and injury accidents are the leading causes of severe trauma, and the timely and correct treatment, and the scientific and reasonable to patients in the most short time, can reduce the mortality of patients, increase the patient＇ s chances of survival.