回顾性分析老年创伤患者急救的临床特点

Retrospective Analysis of Clinical Characteristics of First Aid in Elderly Trauma Patients

目的：分析老年创伤患者急救临床特点,为提高老年创伤患者救治成功率,减少或者避免创伤发生提供可靠依据.方法：对我院急诊科2016年2月～2017年2月60例老年创伤患者急救资料进行回顾性分析.结果：60例急救的老年创伤患者中,男性病例38例（63.33％）,女性病例22例（36.67％）;年龄60～85岁,平均年龄69.12岁;其主要创伤机制为自己摔伤26例（43.33％）、交通意外伤20例（33.33％）;主要创伤部位为四肢及盆骨34例（56.67％）、颅脑21例（35.00％）、脊柱14例（23.33％）、胸部9例（15.00％）;救治成功49例,死亡11例;死亡组患者AIS-ISS评分、急救至手术时间均高于存活组,差异有统计学意义（P＜0.05）.结论：老年患者各项身体机能欠佳,应做好预防工作,尽量减少创伤的发生,且老年创伤患者临床特点复杂,尽旱确定和安排抢救手术时间,确保救治的成功率,减少并发症的发生,有效降低病死率.

Objective： The purpose of this study was to analyze the clinical characteristics of first aid in elderly patients trauma, and to provide reliable basis for improving the success rate of treating trauma in elderly patients, reducing or avoiding trauma. Methods： Retro- spective analysis of our hospital in February 2016 ~ 2017 February 60 cases of elderly patients with trauma first aid information. Results： Among the 60 elderly patients with trauma, 38 cases （63.33%） were female cases and 22 cases （36.67%） were female cases. The age was 60 to 85 years old. The average age was 69.12 years. The main traumatic mechanism was autism （26.33%）, traffic accidental injury 20 cases（33.33% ）. the main traumatic part was 34 cases （56.67%） of limbs and pelvis, 21 cases （35.00%） ,14 cases （23.33%） of the spine, 9 cases of the chest （36.33%） ; treatment success in 49 cases, 11 cases of death. Both the AIS - ISS score of the patients and the time first aid to operation in the death group was higher than that in the survival group, the difference was statistically significant （ P 〈 0.05）. Conclusion： The elderly patients with poor physical function, should do a good job in prevention work, to minimize the occur- rence of trauma, and its clinical characteristics of complex, as soon as possible to determine and arrange rescue surgery time to ensure the success rate of treatment, reduce the incidence of complications, effectively reduce Mortality rate.