急诊绿色通道在创伤性膈疝中的应用体会

Application experience of emergency green channel in traumatic diaphragmatic hernia

目的阐述急诊绿色通道在创伤性膈疝中的应用体会。方法回顾性分析2017年5月至2018年5月,江苏省人民医院收治的25例创伤性膈疝患者的临床资料,均采用急诊创伤绿色通道进行抢救。记录患者手术情况、治疗结果及术后并发症情况。结果 25例患者到达医院立即启动创伤通,所有创伤通道人员到位时间(5±5.5)min,到达医院至手术时间(60.7±6.2)min。23例入院后行急诊手术,另外2例均于入院后第2天手术。并发症发生率为8.70%,死亡率为8.00%,治疗成功率为92.0%。结论急诊创伤绿色通道的设立可大大缩短受伤至手术时间,以最迅速的方式使创伤性膈疝患者得到及时救治,提倡更多的医院建立"急诊创伤绿色通道",使更多的患者在最短的时间内接受有效的治疗。

Objective To explain the application experience of emergency green channel in traumatic diaphragmatic hernia.Methods The clinical data of 25 patients with traumatic diaphragmatic hernia admitted to Jiangsu provincial people’s hospital from May 2017 to May 2018 were retrospectively analyzed.All patients were rescued by emergency green channel.The operation situation,treatment results and postoperative complications were recorded.Results The average pre-hospital emergency time was(23.6±5.5)minutes in 25 patients,and the time from injury to surgery was(72.7±6.2)minutes.23 patients underwent emergency surgery after admission,and the other 2 patients underwent surgery on the 2 nd day after admission.The complication rate was 8.70%,the mortality rate was 8.00%,and the treatment success rate was 92.0%.Conclusion The establishment of the emergency green channel can greatly shorten the time from injury to surgery.The patients with traumatic diaphragmatic hernia are treated promptly in the most rapid way,and advocate more hospitals to establish an'emergency green channel'so that more patients can receive effective treatment in the shortest time.