720例严重创伤患者的急诊急救与护理

First aid and Nursing of 720 Patients with Severe Trauma

目的:探讨严重多发伤的急诊急救与护理措施,以降低死亡率,提高多发伤患者的抢救成功率。方法:回顾性分析研究某院三个院区的急诊科共720例严重创伤患者的临床资料。结果:720例患者中,656例经积极有效的抢救与护理,病情稳定后收住院,好转率达91.1%,64例经抢救无效死亡,死亡率为8.9%。结论:严重多发伤特别是累及多个解剖部位的多发伤死亡率高达100%,抢救必须争分夺秒,重视伤后"黄金一小时",以VIPCO为抢救原则,先"救命"后"治伤",熟练、有序、高效、专业的救治护理措施,对降低伤残率,提高抢救成功率有着十分重要的意义。

Objective：To study the emergency treatment measures of severe multiple trauma, we try to reduce the mortality and improve the rescue success rate of multiple trauma patients. Methods：Collecting form three campus in our emergency department, a total of 720 patients＆#39; clinic materials with severe trauma were retrospectively studied. Results：Through positive and effective treatment and nursing,656 patients in 720 cases were admitted to the hospital after a stable condition, the recovery rate was 91.1%. The 64 patients died, mortality rate was 8.9%. Conclusion：Se-vere multiple trauma, especially involving multiple anatomical sites results in high death rates which is up to 100%mortality , so rescue must race against time, pay attention to the golden hour after injury, and abide by the principle of VIPCO. Put priority on life-saving, and then focus on treatment. For reducing the disability rate and improving the success rate of rescue,familiar, orderly, efficient and professional nursing measures are very important .