高处坠落伤的急诊外科救治分析.docxVIP

高处坠落伤的急诊外科救治分析 摘要：目的探讨高处坠落伤的伤情特点和急诊外科救治措施。方法 对2012年6月?2015年6月我院急诊外科诊治的125例坠落伤患者的伤 情及急诊救治措施进行总结分析。结果损伤单一型41例（33%）,多发伤 84例（67%）,治愈94例（75%）,致残25例（20%）,死亡6例（5%）。坠 落伤高度低于3 ni患者病情相对较轻，预后好；坠落伤高度大于9米患者 伤情危重，死亡率25%。结论坠落伤患者病情较重，病情变化快，救治难 度大，死亡率高。坠落伤患者应以急诊救治为主，多科协作救治，及时正 确的抢救，提高患者的救治水平。 关键词：高处坠落伤；急诊救治；多科协作 Treatment Analysis of 125 Cases of Falling Injury in the Emergency Surgery CHEN Yu, WANG Wei-zhong （Department of Emergency, Shunyi District Hospital, Beijing 101300, China） Abstract： Objective To investigate the injury characteristics of falling injury and treatment measures in emergency surgery. Methods Retrospective analysis on the injury characteristics and treating measures of 125 cases of falling injury treated in our department of emergency from June 2012 to June 2015? ResuIts Single injury in 41 cases (33%), multiple injuries in 84 cases (67%)， 94 cases were cured (75%), 25 cases of disability (25%), 6 cases of death (5%)? The patients with fall height less than 3 meters were in relatively mild condition and have good prognosis, while the patients with falling height higher than 9 meters have serious injury and mortality of 25%. Conclusion Fall injury pationt has serious condition and the condition changes quickly , so the treatment is normally difficult and the mortality rate is high. The treatment on falling injury patients is mainly emergency treatment, with help of multidisciplinary treatment? The treatment must be timely rescue in order to improve the treatment level of patients. Key words： Fal ling inj ury； Emerge ncy surgery； Trea tment a nalysis 近年?恚?随着现代化城市的发展，高处坠落伤己成为继交通事故外导 致严重创伤和致死的常见原因[1],可造成头部，胸部，腹部，脊柱及四 肢等部位的严重外伤，患者预后较差，死亡率及致残率高。高处坠落伤患 者有一部分来急诊时病情叙述不清，查体配合困难，易造成漏诊及误诊， 早期如能得到及时正确的抢救及诊断治疗可降低死亡率，减少并发症的发 生。我院对2012年6月?2015年6月我院急诊外科诊治的125例坠落伤 患者，现将救治情况分析如下。 1资料与方法 1. 1 一般资料 本组男102例，女24例，年龄16-78岁，平均39. 7 岁，坠落高度1?5?24 m,平均3.6 m,受伤至入院时间15min?7 h,平 均 1. 53 h0 1?2坠落高度 W3 m 79例，＞3 mW9 m 34例，＞9 m 12例。 1.3损伤类型本组单一伤41例，多发伤84例；损伤类型有：四肢骨 折、脊柱损伤、颅脑损伤、内脏损伤、骨盆骨折、肋骨骨折等。损伤