摘要
目的探讨在院前急救中胸外伤专科处理的必要性。方法收集江苏省徐州医学院第二附属医院127例严重胸外伤或合并胸外伤患者,根据院前急救措施分成专科医师组(n=49)和非专科医师组(n=78),观察两组患者的急救措施实施及生命体征变化情况。结果专科医师组49例患者全部痊愈;非专科医师组痊愈73例,死亡5例。在处理严重气胸、连枷胸方面,专科医师组与非专科医师组对比,差异有统计学意义(χ2=19.711,P<0.001;χ2=11.221,P=0.008),而在处理非胸外伤病情方面,差异无统计学意义(P=0.517)。5例死亡病例均有严重连枷胸损伤,急救现场及转运途中均未行有效的专科处理。结论胸外科专科医师与非专科医师处理气胸及连枷胸的意识及能力有明显差异,在院前急救中应提高胸外伤院前急救意识,加强胸外科专科人员配置,为后期的创伤救治创造有利条件。
Objective To investigate the necessity of specialist treatment for thoracic trauma in prehospital emergency. Methods 127 severe thoracic trauma or combined with thoracic trauma patients were recruited in the Second Affiliated Hospital of Xuzhou Medical College and were divided into two groups （specialist group and non-specialist group） according to their prehospital e- l mergency measures. Emergency measures and vital signs changes in two groups of patients were observed. Results 49 cases were all cured in specialist group; non-specialist group 73 cases were cured, 5 cases died. In the treatment of severe pneumothorax and flail chest, there were significant statistical difference between specialist group and non-specialist group （X^2 = 19.711, P 〈 0. 001;X^2 = 11. 221 ,P =0. 008）, and no statistical significance in non-thoracic trauma treatment （P = 0. 517）. 5 death cases were severe flail chest injury; no effective specialist treatment on the emergency scene and during the transportation. Conclusions There are signifi- cant differences in awareness and capacity for treating pneumothorax and flail chest between thoracic surgery specialist and non-special- ist. It is necessary to increase the emergency awareness of thoracic trauma inprehospital emergency, and strengthen thoracic surgery specialist staffing so as to create favorable conditions for the latter trauma care.
出处
《中华灾害救援医学》
2015年第6期320-322,共3页
Chinese Journal of Disaster Medicine
关键词
胸外伤
专科处理
院前急救
thoracic trauma
specialist treatment
prehospital emergency
