中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
6期
1-1,6
,共2页
基层医院%严重创伤%救治模式%救治率
基層醫院%嚴重創傷%救治模式%救治率
기층의원%엄중창상%구치모식%구치솔
Primary hospital%Severe trauma%Rescue mode%Treatment rate
目的：探讨基层医院严重创伤救治模式，提高创伤救治成功率。方法从本院2007年~2011年符合严重创伤诊断标准患者中随机抽样100例作为对照组，2012年~2013年本院严重创伤患者100例作为研究组，比较和分析两组的救治结果。结果研究组急救人员到达现场时间、入院至急诊手术时间较对照组缩短20%，MODS发生率降低18%，致残率降低15%，病死率降低16%，抢救成功率提高16%。结论基层医院实行院前急救与院内急救一体化和院内救治多学科一体化，应用创伤控制技术（DCS）及早期目标导向性液体治疗（EGDT）理论，形成程序化、规范化救治，可有效提高严重创伤救治成功率。
目的：探討基層醫院嚴重創傷救治模式，提高創傷救治成功率。方法從本院2007年~2011年符閤嚴重創傷診斷標準患者中隨機抽樣100例作為對照組，2012年~2013年本院嚴重創傷患者100例作為研究組，比較和分析兩組的救治結果。結果研究組急救人員到達現場時間、入院至急診手術時間較對照組縮短20%，MODS髮生率降低18%，緻殘率降低15%，病死率降低16%，搶救成功率提高16%。結論基層醫院實行院前急救與院內急救一體化和院內救治多學科一體化，應用創傷控製技術（DCS）及早期目標導嚮性液體治療（EGDT）理論，形成程序化、規範化救治，可有效提高嚴重創傷救治成功率。
목적：탐토기층의원엄중창상구치모식，제고창상구치성공솔。방법종본원2007년~2011년부합엄중창상진단표준환자중수궤추양100례작위대조조，2012년~2013년본원엄중창상환자100례작위연구조，비교화분석량조적구치결과。결과연구조급구인원도체현장시간、입원지급진수술시간교대조조축단20%，MODS발생솔강저18%，치잔솔강저15%，병사솔강저16%，창구성공솔제고16%。결론기층의원실행원전급구여원내급구일체화화원내구치다학과일체화，응용창상공제기술（DCS）급조기목표도향성액체치료（EGDT）이론，형성정서화、규범화구치，가유효제고엄중창상구치성공솔。
Objective To research the treatment mode of severe trauma of primary hospitals to enhance the success rate for treatment of patients with trauma. Methods Adopting the method of random sampling, 100 cases of patients from 2007 to 2011 were selected as control group and 100 patients from 2012 to 2013 were selected as study group. The patients were all meet the standard of severe trauma. Compare and analyze the results of treatment in both groups. Results Arrival time of the emergency personnel and admitted to emergency surgery time the of the study group shorten a extent of 20%in the study group. The incidence rate of MODS, disability rate and death rate were respectively reach a reduce by 20%, 15%and16%in study group. Success rate were also enhanced by 16%. Conclusion By implementing integration of pre-hospital emergency and hospital emergency and hospital treatment for multidisciplinary integration, adopting the theory of Damage control surgery (DCS) and Early goal-directed therapy (EGDT), form the treatment method with routinization and normalization, can effectively improve the severe trauma success rate in primary hospital.
