急诊外科创伤患者死亡原因分析.pdfVIP

· · 226 急诊外科创伤患者死亡原因分析 左永波1 徐爱民2 蔡景五1 张新颜1 [摘要] 目的：急诊外科为各类创伤患者的首诊科室，探讨如何提高急诊外科抢救成功率。减少外伤死亡。 方法：回顾性分析我院急诊外科34例死亡病例。结果：青壮年男性为急诊外科死亡高危人群，交通伤是急诊外科 死亡第一致病病因。死亡主要原因是颅脑损伤和创伤失血性休克。结论：应加强院前急救与院内急诊外科的联 系。进一步普及创伤现场急救的知识，急诊外科医师应掌握高级创伤生命支持(ATLS)。创伤失血性休克患者入 抢救室之时就应该是准备输血的开始。急诊外科危重患者的抢救必须争分夺秒。 [关键词]创伤；急诊；死亡原因；损伤严重度评分 [中图分类号]R64l [文献标志码]A [文章编号]r009—5918(2011)04一0226一02 ofthecausesofdeathin trauma Analysis emergencypatients 2 ZHANG ZU0 X【，Aimi，zCAJr yb咒96D1 Ji竹g叫”1 Xi挖y口咒1 haidian 100080， (1Beijing hospitalemergencysurgeondepartment，Beijing， China；2Beijing chaoyanghospitalemergencydepartment) thesurvivalrateand the Abstract theclinical for reducingmortality Objective：Toinvestigate pathsincreasing of dead traumawere emergencytrauma．Memod：34patientsof．emergency retrospectiveIyanalyzed．Result：Young adultswasthe Trafficaccidentwasthe causeof trauma．T“ostofthe male risk major emergency high population． establishedbetween diedfromhead and shock．Conclusion：Connectionshouldbe pre— patients injuryhemorrhagic medicalcareand The offirstaidshouldbe hospital emergencysurgery．knowledge popularized．Emergencyphysi— TraumaLife Bloodtransfusionshouldbe sincethe ciansmustcontr01theAdvanced Support(ATLS)， prepaired with shockaresentintotheresuscitationroom． thesevere in is patientshemorrhagic