急诊严重创伤早期救治的临床分析

目的探讨提高急诊严重创伤救治成功率的有效途径。方法回顾性分析本院2001年1月至2006年1月急诊严重创伤133例的临床资料。结果本组133例,救治脱险121例（91%）;死亡12例（9%）,其中急诊救治中死亡3例,手术时或手术后死亡9例。实施确定性抢救手术114例,其中抢救脱险105例,急诊科滞留时间（57±28）min;死亡9例,急诊科滞留时间（125±48）min,两者急诊科滞留时间有极显著性差异（P〈0.01）。结论缩短急诊科滞留时间,早期实施确定性手术治疗,可以有效捉高抢救成功率。

Clinical Analysis of Early Treatment in Severe Trauma Emergency

Objective To improve the emergency treatment soccess rate of serious injury to an effective way. Methods Retrospective analysis of our hospital from january 2001 to january 2006 emergency 133 cases of severe trauma clinical data. Results 133 cases of this group,where 121 cases out of danger（91 %） ;died 12 cases（9 %）,of which died 3 cases in the emergency room, died 9 cases in surgery or after surgery. The definite emergency surgery 114 cases,of which 105 cases out of danger, emergency department stranded in time （57 ± 28） min; died 9 cases, emergency de- partment stranded in time （125±48）min,with a very significant difference between the 2 groups （P〈0.01）. Conclusion Shortening the duration of staying in the emergency department and early definite emergency surgery can effectively improve the success rate.