摘要
目的分析急诊外科创伤患者死亡危险因素,探讨出提高急诊外科抢救成功率的急救措施,为临床提供参考依据。方法采取回顾性分析法,选取2018年1月至2019年12月在我院急诊外科接受治疗的90例创伤死亡以及院外抢救无效死亡患者临床资料,同时选取可能影响患者死亡因素进行Logistic分析。结果90例死亡患者中,院前死亡58例,主要创伤部位为头部、胸部、腹部,主要创伤成员为中青年。90例死亡患者中有57例患者年龄在20-50岁范围内,所占比例为63.33%;因交通事故所导致的急诊创伤死亡患者占比最高,达61.11%。年龄、机械通气、创伤严重程度评分(ISS)、格拉斯哥昏迷评分(GCS)以及现场急救是导致急救外科创伤患者死亡的主要危险因素。结论患者年龄、现场急救水平、创伤评分是导致急诊外科创伤患者死亡的重要因素,应不断强化院前急救,在第一时间准确诊断患者病因可有效提高创伤患者抢救成功率。
Objective To analyze the risk factors of death in emergency surgical trauma patients,and explore the first-aid measures to improve the success rate of emergency surgical rescue,so as to provide reference for clinical practice.Methods A retrospective analysis was conducted to select the clinical data of 90 patients who died of trauma and ineffective out-of-hospital rescue who were treated in emergency surgery of our hospital from January 2018 to December 2019.Meanwhile,the possible factors affecting the death of patients were selected for logistic analysis.Results Among 90 patients who died,58 died before hospital.The main trauma sites were head,chest and abdomen.The main trauma members were young and middle-aged.Fifty-seven of the 90 deaths were in the age range of 20-50 years,accounting for 63.33%;the death rate of emergency trauma caused by traffic accidents was the highest,accounting for 61.11%.Age,mechanical ventilation,trauma severity score(ISS),Glasgow coma score(GCS),and on-site first aid were the main risk factors for mortality in emergency surgical trauma patients.Conclusion Patient age,level of on-site first aid and trauma score are important factors leading to death of trauma patients in emergency surgery.Pre-hospital first aid should be continuously strengthened.Accurate diagnosis of patient’s etiology at the first time can effectively improve the success rate of rescue for trauma patients.
作者
吴庆文
WU Qing-wen(Huiyang Sanhe Hospital,Huizhou,Guangdong 516211)
出处
《智慧健康》
2020年第19期118-119,122,共3页
Smart Healthcare
关键词
急诊外科创伤
死亡危险因素
急救措施
Emergency surgical trauma
Risk factors for death
Emergency measures
