急诊多发伤患者致死的危险因素与急救措施分析

Analysis of risk factors of death and first aid measures in emergency patients with multiple injuries

目的分析探讨急诊多发伤患者致死的危险因素及急救措施。方法回顾性分析2015年7月至2017年5月我院收治的92例严重多发伤患者资料,急救后的死亡患者例数为21例,比较相关危险因素差异。结果多发伤患者的不同性别病死率差异不显著(P>0.05);而不同年龄阶段、受伤部位、ISS评分、就诊时间、损伤部位数及是否呼吸系统感染患者的死亡率比较均存在显著差异(P<0.05)。年龄≥60岁、受伤部位(颅脑)、ISS评分≥16分和受伤至就诊时间≥3 h是导致多发伤患者死亡的独立危险因素(P<0.05)。结论年龄≥60岁、受伤部位(颅脑)、ISS评分≥16分和受伤至就诊时间≥3 h是导致多发伤患者死亡的独立危险因素,以此为依据制定急救预案可以降低多发伤病患者的死亡率。

Objective To investigate the risk factors of death and first aid measures in emergency patients with muhiple trauma. Methods A total of 92 patients with severe muhiple trauma were enrolled in this study from July 2015 to May 2017. Number of deaths after first aid was 21 cases, and the differences of related risk factors were compared. Results For the mortality rate, there were no significant differences in the sex between the muhiple trauma patients （P〉0.05）. There were significant differences in mortality rate with different age stages, injury sites, ISS scores, visit time, number of injury sites and respiratory infections （whether or not） （P〈0.05）. The age≥60, the injury site （brain）, ISS score≥16 and the time from injury to treatment≥3 h were independent risk factors for the death of muhiple trauma patients （P〈0.05）. Conclusion The age≥60, injured parts （brain）, ISS score≥ 16 and the time from injury to treatments〉3 h were independent risk factors leading to death in muhiple trauma patients. Based on this, emergency plans should be prepared to reduce the mortality rate of patients with muhiple injuries.