严重道路交通伤院前院内一体化救护的研究

目的 探讨严重道路交通伤院前院内一体化救护模式及效果.方法 2006-01/2010-10月,院前救护站4人和应急医疗队的4、8、12和48人的编组构成与展开流程的实践回顾.全组展开救护510起,救治严重交通伤病人1976例,对有关伤员现场分类,心、肺、脑复苏,急救手术;后送途中的有效处理;院内急救、手术与术后处理,且...

Integrated Pre- and In-hospital Medical Rescue of Severe Road Traffic Injuries

Objective To discuss the integrated mode and the effect of pre- and in-hospital rescue on severe road traffic injuries （SRTI）. Methods The medical practice of a pre-hospital aid station with 4 members and medical teams with 4, 8, 12 and 48 members between January 2006 and October 2010 were reviewed. A total of 1976 cases with SRTI in 510 traffic accidents were rescued. The patients accepted on-site classification, cardiac pulmonary cerebral resuscitation, emergency operation, rapid evacuation to the hospital, and in-hospital emergency treatment, surgical operation and post-operation management. The therapeutic effects were observed. Results According to the Glasgow coma scale, 1269 cases （64%） were evaluated as good, 175 cases （9%） middle disability, 116 cases（6%） severe disability, 39 cases （2%） persistent vegetative state （PVS）,and 377 cases （23%） death. In 377 death cases, 139 cases died in pre-hospital （37%）, 238 died in the hospital （63%）, 98 died in 1 hour after injury （25%）, 117 died in 24 hours （31%）, and 162 died over 24 hours after injury （43%）. Conclusion The main clinical characteristics of SRTI are various injury factors, severity of injuries, rapid disease development, multiple and complex traumas and bad prognosis. The early pre-hospital emergency rescue is crutial. Integrated pre- and in-hospital first-aid is an effective rescue mode of SRTI and possesses of popularization and application value.