51例挤压伤院前急救分析

51 cases of crush injury analysis of pre - hospital First Aid.

目的：了解院前急救医务人员对挤压伤和挤压综合征的认识和重视程度，探讨院前采取积极有效措施对挤压伤患者预后的影响。方法：回顾性分析51例挤压伤患者，记录院前急救医务人员认识和／或采取了有效措施防治挤压综合征的例数；以采取了有效防治措施的病例为治疗组，其余患者为对照组，比较两组患者严重并发症（挤压综合征和截肢）的发生率。结果：25例（49．02％）挤压伤被院前急救人员所认识，其中20例（39.22％）采取了有效防治措施；入院后发生严重并发症1l例（挤压综合征8例，其中治疗组1例，对照组7例；截肢3例，均为对照组病例）；治疗组严重并发症发生率明显低于对照组（P〈0．05）。结论：院前采取积极有效措施对防治挤压综合征和降低致残率具有显著的作用，但院前急救人员对挤压伤和挤压综合征的认识和重视程度是远远不够的。

Objective： To understand the pre - hospital emergency medical personnel understanding of crush injury and crush syndrome and the importanee,pre - hospital take positive and effective measures to explore the influence of the prognosis of patients with crush injury. Methods： Retrospective analysis 51 cases of crush injury,record the pre - hoapital emergency medical personnel to recogrtice anti/or take the effective measures to control the number of cases of crush syndrome ; To take the effective prevention and control measures of cases for treatment group,the rest of the patients as control group, compared two Stoups of patients the incidence of serious complications, crush syndrome and amputation. Results ：25 ca- ses （49. 02% ） are known, the pie - hospital emergency workers crush injuries in which 20 cases （39. 22% ） took effective measures to prevent and control ; 11 cases of severe complica- tions after admission （8 case of crush syndrome,in which treatment group 1 case and control group 7 cases ;3 cases of amputation, all cases as control group）. The incidence of serious complications treatment group was obviously lower than the control group （ P 〈 0. 05 ）. Conclusion ： Pre - hospital take positive and effective measures for prevention and treatment of crush syndrome and reduce morbidity has significant effect, but the pre - hospital emergency personnel understanding of crush injury and crush syndrome and the emphasis is not enough.