摘要
目的研究严重创伤的急救模式对救治效果的影响。方法2002年1月至2004年10月收入我院急诊科的302例严重创伤患者作为分科救治的对照组,伤者在急诊科检查、会诊,确诊后转入各专科进行手术及治疗。2004年10月我院成立急救中心,2004年10月至2007年2月收入急救中心的276例严重创伤患者作为一体化救治的临床组,伤者到达急救中心即进入一体化创伤救治程序。比较和分析两组的救治时间和效果。结果临床组的确诊时间和进急诊科至首次手术急救的时间分别为(30±15)min和(40±15)min,均明显短于对照组[(85±20)min和(135+20)min,均P<001]。临床组的病死率为11.2%,显著低于对照组(17.9%,P<001)。结论严重创伤的急救模式对创伤患者救治的转归及预后有明显影响,一体化创伤急救模式明显优于创伤分科救治。
Objective To study the effects of first aid patterns in trauma treatment on the outcome of severe trauma. Methods The clinical data of 302 trauma patients admitted into the emergency department of Anhui Provincial Hospital from January 2002 to October 2004(control group)and 276 trauma patients directly admitted to the newly established trauma center in that hospital to undergo integrating treatment from October 2004 to February 2007 and(clinical group)were analyzed.After arri- ving in the department of emergency the patients of the control group had to undergo physical and necessary accessory examina- tions,consultation,respiratory support,and electrocardiographic monitoring first,and then sent to specific special faculties to undergo further treatment after a diagnosis was confirmed.However,the patients of the clinical group underwent the integrative treatment by the physicians of the emergency department immediately after they arrived in the emergency center.Results The time needed for confirmation of diagnose and the time between arrival at the emergency department and the first surgical operation of the clinical group was(30±15)and(40±15)min respectively,both significantly shorter than those of the control group [(85±20)and(135±20)min respectively,beth P<001].The mortality rate of the clinical group was 11.2%,significantly lower than that of the control group(17.9%,P<0.01).Conclusion The patterns of trauma care have a significant influ- ence on the outcome of the severe trauma patients.Integration trauma care is superior to separate surgical treatment.
出处
《中国急救复苏与灾害医学杂志》
2007年第12期715-717,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
严重创伤
急救模式
效果
Severe trauma
Emergency patterns
Effect
