急诊外科创伤患者的死亡危险因素与急救措施
| 作者: |
1李宝,
2苑建磊,
3高莹,
1赵敏霞,
3王新梅,
4田龙江,
3杨慧,
3杨帆
1 沧州市人民医院120急救中心，河北 沧州 061000 2 沧州市人民医院肝胆外科，河北 沧州 061000 3 沧州市人民医院急诊科，河北 沧州 061000 4 沧州市人民医院泌尿外科，河北 沧州 061000 |
| 通讯: |
李宝
Email: enb1817@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.11.016 |
| 基金: | 沧州市科学技术研究与发展指导计划(172302157)。 |
摘要
目的：通过探讨急诊外科创伤患者的流行病学特征，为公共预防、院前急救和急诊抢救提供研究支持。方法：收集2017年1月至2020年12月在沧州市人民医院急诊科收治的创伤患者的病历资料，分析其流行病学特征。结果：共纳入2 296例急诊创伤患者，其中男1 777例，女519例，年龄为(41.21±13.62)岁，31~40为最高发年龄，农民是最高发人群，患者学历以初高中为主，入院月份1月最高3月最低，车祸是最主要致伤因素，体表和头颈部为最容易受伤部位，受伤严重程度评分(injury severity score，ISS)≥16的患者占比69.25%，创伤严重程度和损伤部位数量与死亡数有关。结论：针对高风险人群的预防宣教有利于减少创伤的发病率。
关键词：
急诊外科；危险因素；急救措施；死亡
Death risk factors and first aid measures for patients with trauma in emergency surgery
CorrespondingAuthor: LI Bao Email: enb1817@163.com
DOI: 10.3978/j.issn.2095-6959.2021.11.016
Foundation: This work was supported by the Cangzhou Science and Technology Research and Development Guidance Plan, China (172302157).
Abstract
Objective: To explore the epidemiological characteristics of patients with emergency surgical trauma and provides research support for public prevention, pre hospital first aid and first aid measures. Methods: Trauma patients admitted to emergency surgery of our hospital from January 2017 to December 2020 were included in this study to analyze their epidemiological characteristics. Results: A total of 2 296 emergency trauma patients were included. There were 1777 male and 519 female, the age was (41.21±13.62) years, and 31–40 years was the highest incidence age. Farmers were the highest incidence population. The education of patients was mainly junior high school and senior high school. The admission month was the highest in January and the lowest in March. Car accident was the main injury factor, the body surface and head and neck were the most vulnerable parts, and the proportion of patients with injury severity score (ISS) ≥16 was 69.25%, the severity of trauma is related to the number of injury sites and the number of deaths. Conclusion: Preventive education for high-risk groups is beneficial to reduce the incidence rate of trauma.
Keywords：
emergency surgery; risk factors; first aid measures; death