摘要
目的探讨急症一体化救治模式在提高交通事故致多发伤救治成功率方面的作用。方法东南大学附属江阴医院2006年1月—2007年10月采用"院前急救—院内急救室—急诊室症监护病房(EICU)"一体化救治严重多发伤病人103例(第1组),和2004年1月—2005年12月未采用新急救模式抢救严重多发伤病人101例(第2组)进行比较。结果第1组死亡20例,救治成功率为80.6%。第2组死亡27例,救治成功率为73.3%。2组患者创伤严重度评分(ISS)差异无统计学意义,第1组患者120平均到达现场的时间、院内绿色通道时间、平均住院时间均低于第2组,救治成功率高于第2组(P<0.05)。结论多发伤的诊治必须由急救中心医师实施或组织实施,在急救中心实施多发伤一体化救治是提高其成功率的有效途径,也是多发伤救治的发展趋势。
[ Objective] To investigate the function of integrated treatment pattern in the treatment of severe multiple trauma caused by traffic accident. [ Methods ] 103 patients with severe multiple trauma from January, 2006 to October, 2007 in the Affiliated Jiangvin Hospital of Southeast University treated by integrated treatment pattern, which integrate pre-hospital care, hospital emergency care and emergency critical care （EICU） （the first group）, compared with 101 patients with severe multiple trauma from January, 2004 to December, 2005 which were treated without new treatment pattern （the second group）. [ Results ] 20 patients died in the first group, the success rate was 80.6%. 27 patients died in the second group, the success rate was 73.3%. There was not significant difference in injury severity score （ISS） between two groups. The average spending time of ambulance arrived to the scene, green channel in hospital and the hospitalization of the first group were lower than those of the second group. The success rate of first group was higher than that of the second group （ P 〈 0.05}. [ Conclusion] The diagnosis and treatment of multiple trauma must be organized and carried out by doctors in the emergency center. The integrated treatment in the emergency center is an effective approach to improve the curative success rate of muhiple trauma as well as a development trend in the treatment of muhiple trauma.
出处
《职业与健康》
CAS
2008年第23期2616-2618,共3页
Occupation and Health
关键词
交通事故
严重多发伤
一体化模式
Traffic accident
Severe multiple trauma
Integrated treatment pattern
作者简介
杨惠光，男，主任医师，主要从事临床外科工作。
