国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
7期
970-973
,共4页
严重创伤%流行病学
嚴重創傷%流行病學
엄중창상%류행병학
Major trauma%Epidemiology
目的 调查江门市中心城区严重创伤患者流行病学特征及影响因素,为制定预防和干预措施提供科学依据.方法 采用描述性流行病学方法回顾分析2005年11月1日-2009年10月31日于本院就诊的1092例AIS≥3分的严重创伤患者的流行病学资料.结果 符合条件入选的病例有1092例,其中男825例,女267例,平均年龄(34.65±18.19)岁.年龄组分布:儿童组98例,死亡3例;青壮年组735例,死亡61例;中年组190例,死亡14例;老年组69例,死亡7例.致伤原因:道路交通伤635例,跌伤98例,锐器伤56例,机器伤65例,烧烫伤118例,坠落伤61例,其它59例.受伤部位:根据解剖要点分区法,单独A区受伤581例(53.21%),死亡40例(47.06%);单独B区受伤64例(5.86%),死亡3例(3.53%);单独C区受伤151例(13.83%),死亡7例(8.24%);多区伤296例(27.11%),死亡35例(41.18%).伤型:钝伤836例,其中生存773例,死亡63例;穿透伤256例,其中生存234例,死亡22例.死亡病例:男68例,女17例,共85例;其中钝击伤63例,穿透伤22例.平均死亡年龄(37.27±17.68)岁.治疗情况和结果:849例接受手术治疗,243例保守治疗.存活出院1007例,死亡85例.主要死亡原因是严重的中枢神经系统损伤和难以控制的出血.结论 严重创伤的发生在发病年龄、职业、地点、致伤原因、受伤部位等方面存在一定的规律性;针对高危人群因地制宜采取预防和干预措施,可有效降低发病率和病死率.
目的 調查江門市中心城區嚴重創傷患者流行病學特徵及影響因素,為製定預防和榦預措施提供科學依據.方法 採用描述性流行病學方法迴顧分析2005年11月1日-2009年10月31日于本院就診的1092例AIS≥3分的嚴重創傷患者的流行病學資料.結果 符閤條件入選的病例有1092例,其中男825例,女267例,平均年齡(34.65±18.19)歲.年齡組分佈:兒童組98例,死亡3例;青壯年組735例,死亡61例;中年組190例,死亡14例;老年組69例,死亡7例.緻傷原因:道路交通傷635例,跌傷98例,銳器傷56例,機器傷65例,燒燙傷118例,墜落傷61例,其它59例.受傷部位:根據解剖要點分區法,單獨A區受傷581例(53.21%),死亡40例(47.06%);單獨B區受傷64例(5.86%),死亡3例(3.53%);單獨C區受傷151例(13.83%),死亡7例(8.24%);多區傷296例(27.11%),死亡35例(41.18%).傷型:鈍傷836例,其中生存773例,死亡63例;穿透傷256例,其中生存234例,死亡22例.死亡病例:男68例,女17例,共85例;其中鈍擊傷63例,穿透傷22例.平均死亡年齡(37.27±17.68)歲.治療情況和結果:849例接受手術治療,243例保守治療.存活齣院1007例,死亡85例.主要死亡原因是嚴重的中樞神經繫統損傷和難以控製的齣血.結論 嚴重創傷的髮生在髮病年齡、職業、地點、緻傷原因、受傷部位等方麵存在一定的規律性;針對高危人群因地製宜採取預防和榦預措施,可有效降低髮病率和病死率.
목적 조사강문시중심성구엄중창상환자류행병학특정급영향인소,위제정예방화간예조시제공과학의거.방법 채용묘술성류행병학방법회고분석2005년11월1일-2009년10월31일우본원취진적1092례AIS≥3분적엄중창상환자적류행병학자료.결과 부합조건입선적병례유1092례,기중남825례,녀267례,평균년령(34.65±18.19)세.년령조분포:인동조98례,사망3례;청장년조735례,사망61례;중년조190례,사망14례;노년조69례,사망7례.치상원인:도로교통상635례,질상98례,예기상56례,궤기상65례,소탕상118례,추락상61례,기타59례.수상부위:근거해부요점분구법,단독A구수상581례(53.21%),사망40례(47.06%);단독B구수상64례(5.86%),사망3례(3.53%);단독C구수상151례(13.83%),사망7례(8.24%);다구상296례(27.11%),사망35례(41.18%).상형:둔상836례,기중생존773례,사망63례;천투상256례,기중생존234례,사망22례.사망병례:남68례,녀17례,공85례;기중둔격상63례,천투상22례.평균사망년령(37.27±17.68)세.치료정황화결과:849례접수수술치료,243례보수치료.존활출원1007례,사망85례.주요사망원인시엄중적중추신경계통손상화난이공제적출혈.결론 엄중창상적발생재발병년령、직업、지점、치상원인、수상부위등방면존재일정적규률성;침대고위인군인지제의채취예방화간예조시,가유효강저발병솔화병사솔.
Objective To provide some reference for making prevention and intervention measures by investigating the epidemiologic characteristics and influencing factors of major trauma in Jiangmen.Methods The epidemiologic data of 1092 major trauma patients who had visited our hospital during the period of November 1,2005 to October 31,2009 were retrospectively analyzed.Results 1092 patients met the criteria for this study.There were 825 male and 267 female, aged 34.65 ± 18.19 years.Age distribution:3 cases of death in the children group of 98,61 cases of death in the young group of 735,14 cases of death in the middle-aged group of 190, 7 cases of death in the elderly group of 69.Causes of trauma:road or traffic injury in 635 patients,injuries by a fall in 98 patients,injuries by sharp materials in 56 patients,injury by machines in 65 patients,bum in 118 patients,fall injury in 61 patients,and other causes in 59 patients.According to the anatomic points partition method,separate zone A injuries in 581 cases ( 53.21% ),40 cases of death ( 47.06% ); a separate B injuries in 64 cases ( 5.86% ),3 cases of death ( 3.53% ); a separate C injuries in 151 cases ( 13.83% ),7 cases of death ( 8.24% ); multiple zone 296 injured cases ( 27.11% ),and 35 cases were dead (41.18% ).Wound types:blunt trauma in 836 cases,with a survival of 773 and death of 63; penetrating injury in 256 cases,with a survival of 234 and death of 22.Death cases:68 male and 17 female,with blunt injury in 63 and penetrating injury in 22.The average age of death was 37.27 ± 17.68 years.Treatment and outcomes:849 cases of surgical treatment and 243 cases of conservative treatment.1007 patients survived and 85 were dead.The main causes of death of acute central nervous system injury and uncontrol bleeding.Conclusions Occurrence of major trauma has some regularity in age,occupation,place of the accidence,causes of trauma,and injured parts of the body.The preventive and intervention measures for the populatiou at highrisk can effectively reduce the morbidity and mortality.