交通事故伤院前急救与转运临床效果评价.docVIP

交通事故伤的院前急救与转运临床效果评价 　　【摘要】 目的：探讨交通事故伤院前急救与转运临床应用价值。方法：2014年1月-2016年12月江苏省连云港市急救中心抢救交通事故伤患者360例，实施院前指导、现场急救、妥善转运、院内病情交接。结果：到达现场时间，市区内1～25 min，平均（6.23±1.22）min，市区外6～70 min，平均（18.67±7.36）min，伤员全部得到及时救治及处理，实施胸部穿刺减压和胸部固定包扎患者37例，给予气管插管患者29例，实施腹部包扎止血42例，对四肢包扎、止血并固定98例，实施固定颈椎49例；抗休克抢救50例，除过现场死亡11例。无急诊救治及转运过程死亡。结论：对交通事故伤患者的实施无缝式的院前急救与转运抢救流程，能使患者有更多的机会在“黄金时间”内得到及时有效的救治，有效降低患者的死亡率。 　　【关键词】 交通事故伤； 院前急救； 转运； 临床效果 　　doi：10.14033/j.cnki.cfmr.2017.25.066 文献标识码 B 文章编号 1674-6805（2017）25-0127-02 　　【Abstract】 Objective：To investigate the clinical application value of pre-hospital emergency care and transportation.Method：From January 2014 to December 2016 360 cases of traffic accident injury patients were rescued in Jiangsu Province Lianyungang City Emergency Center，the implementation of pre-hospital first aid，proper guidance，transport，and hospital transfer condition were used.Result：The arrival time of city within 1-25 minutes，the average time was （6.23±1.22）minutes，outside city within 6-70 minutes，the average time was （18.67±7.36），all the wounded timely treatment and treatment， decompression and chest chest bandage fixed puncture 37 cases，29 cases were treated with tracheal intubation，42 cases underwent abdominal bandage on.Hemostatic bandage，limbs and fixation in 98 cases，49 cases of cervical vertebra fixed，anti shock rescue 50 cases，except 11 cases of death scene.No emergency treatment and transfer process of death.Conclusion：The rescue and transport process of seamless traffic accident patients with pre hospital care，the patient can have more opportunities to get timely and effective treatment in the“prime time”，effectively reduce the mortality of patients. 　　【Key words】 Traffic accident injury； Pre-hospital care； Transport； Clinical effect 　　First-author’s address：The Emergency Center of Lianyungang， Lianyungang 222000，China 　　重大的交通事故?O易造成严重的车祸伤，基于患者受伤的因素较多且过程复杂，加之受伤人数多、伤员受伤情况不一等情况，车祸伤患者出血较多且容易发生死亡和残疾，有关研究结果显示，重大车祸伤患者若能够在受伤后短时间内及时得到急救，则伤者的死亡率和致残率均会明显降低[1]，由此体现出对重大车祸伤患者进行院前