丽水3146例创伤患者流行病学特征及救治状况分析-实用预防医学.PDFVIP

丽水市 3146 例创伤患者流行病学特征及救治状况分析 马柏强，杨越涛，王理富，吴文元 浙江省丽水市人民医院创伤外科 浙江丽水 323000 摘要: 目的 了解丽水市创伤患者流行病学特征和救治状况，为提高本地区创伤预防和救治水平 供科学依据。方法 回顾性收集2009 年 1 月~2013 年 12 月丽水市人民医院收治的 3146 例创伤患者 临床资料，并对性别、年龄、受伤时间、致伤部位、致伤原因、院前急救、急诊室救治以及 ICU 治疗等信息进行统计分析。结果 创伤患者以男性为主，占 69.96%；年龄分布以20~60 岁年龄 组居多，占到 77.62% ；首位致伤原因为交通事故，占 53.72%，头面部损伤达42% ；创伤发生的高 峰时段为 8~20 时。67.99%的创伤患者院前时间在 1 小时之内；急诊室滞留时间不超过 2 小时的比 例达 95.39% 以上；住院时间超过两周的病例高达34.37%，住ICU 超过 2 周的病例占 11.28%。结 论 创伤以青壮年男性为主，头面部为最常见损伤部位，首位致伤原因为交通事故，创伤院前急救 较薄弱。应加强创伤预防与干预，合理配置院前急救资源。 关键词:创伤；流行病学；院前救治 Analysis on trauma epidemiology and current state of trauma care among 3146 cases in Lishui City Abstract:objective To investigate the trauma epidemiological characteristics and current care state in pre- hospital and hospital stage, the study was conducted for trauma care and prevention. Methods Data of 3146 trauma cases were collected retrospectively from Jan 2009 to Dem 2013. The parameters were analyzed such as age, gender, causes of injury, injury parts, care in pre-hospital and hospital stages, etc. Results Male made up 69.96% and patients among 20~60 years old counted for 77.62%. The most common causes of injury was traffic crash (counted for 53.72%), head and face was the most common injury parts(42%). The peak period of injury accidents was between 8am to 8pm. The rate was 67.99% of pre-hospital time in one hour and that was 95.39% of emergency department time less two hours. The cases in hospital over two weeks counted for 34.37%, and those in ICU over two weeks counted for 11.28%. Conclusions The majority of trauma victims are male adult and head-face is the most frequent injury area. The most common cause of injury is traffic crash. The pre-hospital care has many disadvantages. We should enhance prevention of injury and allocate the pre-hospital emergency resources tationally. Key words:trauma; epidemiology; pre-ho