北京市2004～2008年道路交通创伤危重患者120急救特点分析

目的:分析北京市道路交通伤的危重病例急救的流行病学特征及致伤特点。方法:收集2004年1月~2008年12月,北京市120急救中心数据库中诊为交通伤且病情初步判定为危重667例资料。结果:危重交通伤患者667例中,男477例,平均年龄35.8岁,女190例,平均年龄37.8岁。急救人员到场时已死亡195例(29.2%)。急救人员从接到来电至到达现场时间间隔11.4分钟,致伤部位最多为头部外伤470例(70.5%),碰撞类型最多的是非机动车与机动车315例(47.2%),受伤至报告时间最长的为交通伤后慢性病急性发作的。非机动车与非机动车碰撞组年龄最大,碰撞类型、受伤部位对于患者是否已死亡有统计学意义。结论:危重的交通创伤具有致伤过程复杂、多发伤发生率高、死亡率高、可预防的特点,应根据其特点通过全社会的努力来减少或避免交通创伤,降低其危害,提高其救治率。

Analysis of emergency rescue characteristics of traffic injury in Beijing emergency center from 2004 to 2008

Objective：To analyze emergency rescue epidemiologic features and vulnerate characteristics of critical traffic accident injury in Beijing.Methods： Critical traffic accident injury cases were collected from Beijing 120 emergency center database from 2004.1~2008.12.Date analysis was done in spss 18.0 by using P0.05 as statistical significance.Result：There were 667 cases in total,male 477 cases,the average age of which was 35.8,and female 190 cases,the average age of which was 37.8.195 cases were dead on arrival.Average time from emergency alarm bell to arrival was 11.4 minutes.Most common injury part was head,the most common collision types was nonmotor to motor,ammounting to 315 in total.Patients of different sexes or injury part had no statistical significance in age.Collision type and injury part differed in the survival of patients.Conclusion：Characteristics of critical traffic accident injury are that vulnerate process is complicated,and has high incidence rate of multiple injury and mortality,which can be prevented.The policy should be made according to the characteristics of injury and to arouse the attention of the whole society to reduce its damage and increase its remedy rate.