提高基层医院严重创伤救治率的临床研究

Clinical Study of Increasing the Cure Rates of Severe Trauma in Primary Hospital

目的：探讨基层医院严重创伤救治模式，提高创伤救治成功率。方法从本院2007年~2011年符合严重创伤诊断标准患者中随机抽样100例作为对照组，2012年~2013年本院严重创伤患者100例作为研究组，比较和分析两组的救治结果。结果研究组急救人员到达现场时间、入院至急诊手术时间较对照组缩短20%，MODS发生率降低18%，致残率降低15%，病死率降低16%，抢救成功率提高16%。结论基层医院实行院前急救与院内急救一体化和院内救治多学科一体化，应用创伤控制技术（DCS）及早期目标导向性液体治疗（EGDT）理论，形成程序化、规范化救治，可有效提高严重创伤救治成功率。

Objective To research the treatment mode of severe trauma of primary hospitals to enhance the success rate for treatment of patients with trauma. Methods Adopting the method of random sampling, 100 cases of patients from 2007 to 2011 were selected as control group and 100 patients from 2012 to 2013 were selected as study group. The patients were all meet the standard of severe trauma. Compare and analyze the results of treatment in both groups. Results Arrival time of the emergency personnel and admitted to emergency surgery time the of the study group shorten a extent of 20%in the study group. The incidence rate of MODS, disability rate and death rate were respectively reach a reduce by 20%, 15%and16%in study group. Success rate were also enhanced by 16%. Conclusion By implementing integration of pre-hospital emergency and hospital emergency and hospital treatment for multidisciplinary integration, adopting the theory of Damage control surgery （DCS） and Early goal-directed therapy （EGDT）, form the treatment method with routinization and normalization, can effectively improve the severe trauma success rate in primary hospital.