CAJ | 학술논문

目的探讨腹部创伤为主的多发伤急诊一体化救治的临床效果.方法严重腹部创伤为主的多发伤患者211例,其中2004年1月至2006年12月采用传统模式救治102例患者(A组)、2007年1月至2009年12月开展急诊一体化救治109例患者(B组),比较两组的救治效果.结果 A组创伤严重度评分(ISS)为(24.7±6.2)分,死亡14例,病死率13.7%,急诊室滞留时间、入院至急诊手术时间分别为(1.8±0.2)、(2.3±0.3)h.B组ISS为(26.6±7.4)分,死亡6例,病死率5.5%,急诊室滞留时间、入院至急诊手术时间分别为(1.1±0.1)、(1.5±0.2)h.两组病死率、急诊室滞留时间、入院至急诊手术时间比较差异均有统计学意义(P＜0.05).结论实施急诊一体化救治腹部创伤为主的多发伤是提高其成功率的有效途径.
목적 탐토복부창상위주적다발상급진일체화구치적림상효과.방법 엄중복부창상위주적다발상환자211례,기중2004년1월지2006년12월채용전통모식구치102례환자(A조)、2007년1월지2009년12월개전급진일체화구치109례환자(B조),비교량조적구치효과.결과 A조창상엄중도평분(ISS)위(24.7±6.2)분,사망14례,병사솔13.7%,급진실체류시간、입원지급진수술시간분별위(1.8±0.2)、(2.3±0.3)h.B조ISS위(26.6±7.4)분,사망6례,병사솔5.5%,급진실체류시간、입원지급진수술시간분별위(1.1±0.1)、(1.5±0.2)h.량조병사솔、급진실체류시간、입원지급진수술시간비교차이균유통계학의의(P＜0.05).결론 실시급진일체화구치복부창상위주적다발상시제고기성공솔적유효도경.
Objective To explore the effect of emergency rescue in whole-course integrated of abdominal injury with multitrauma. Methods Two hundred and eleven cases of abdominal injury with multitrauma from January 2004 to December 2006,before the emergency rescue in whole-course integrated, treating severe trauma 102 cases (group A),from January 2007 to December 2009,after the emergency rescue in whole-course integrated, treating severe trauma 109 cases (group B) .retrospectively analyzing and comparing the clinical effect between the two groups. Results In group A,injury severity score (ISS) was (24.7 ± 6.2) scores, 14 cases died, the mortality was 13.7% ,the time in emergency room and the time to operation room averaged (1.8 ± 0.2), (2.3 ± 0.3) h. While in group B, ISS was (26.6 ± 7.4) scores,6 cases died, the mortality was 5.5%, the time in emergency room and the time to operation room averaged (1.1 ± 0.1), (1.5 ± 0.2 ) h. ISS indicated no significant difference between the two groups ( P > 0.05 ), the mortality, the time in emergency room and the time to operation room indicated significant difference between the two groups (P < 0.05 ).Conclusion Emergency rescue in whole-course integrated of abdominal injury with multitrauma is an effective way to improve the curative rate.