医院多科室联合救治成批创伤伤员的探索

【目的】探讨中小型医院多科室联合模式救治成批创伤伤员的经验。【方法】1998年1月1日至2009年5月31日救治106批共1154例创伤伤员。1998年1月1日至2004年5月31日，46批共465例，采用常规急诊救治模式救治作为常规治疗的对照组，2004年6月1日至2009年5月31日60批共计689例，采取多科室联合救治模式救治并作为研究组。比较和分析两组间的救治时间和救治结果。【结果】不管轻伤还是重伤、单一伤还是多发伤，研究组的确诊时间，到急诊科至首次急诊手术的时间和住院时间均明显少于对照组，病死率和并发症发生率明显低于对照组。【结论】在成批伤员组织救治工作中，动用全院力量采取多科室联合救治的模式，达到了统一指挥，有力协调，合理。分流，降低了成批伤员的病死率和并发症发生率，缩短了确诊时间和等待手术时间以及住院时间。

Study on the United Multi-department Emergency Treatment of Batch Wounded Persons in Small and Medium-sized Hospital

[Objective]To investigate the effect of united multi-department emergency treatment model on the batch wounded persons. [Methods] From Jan. 1998 to May 2009, 1154 wounded persons （106 batches） were treated. Among them, 465 cases （46. batches） who received normal emergency treatment from Jan. 1998 to May 2004 were taken as the control group. And 689 cases （60 batches） who received treatment of united multi-department treatment model were taken as the clinical group. Comparison and analysis had been carried out on the time and effect of the treatments of these two groups. [Results] No matter it was flesh wound, GBH （grievous body harm）, single-part or multi-part injury, the time between arriving the emergency department and receiving the first emergency operation and the length of stay in the clinical group were obviously shorter than those in the control group. The mortality and the incidence of complication in the clinical group were less than those in the control group. [Conclusion] In the treatment of batch wounded person, when the hospital is mobilized＇and united multi-department treatment model is taken, such benefits as unified command, fluent coordination and reasonable division of the patients can be achieved. And it is helpful to reduce the mortality of batch wounded persons and the incidence of complications. The time of diagnosis and waiting for receiving emergency operation and the length of stay are shortened as well.