车祸意外医院内死亡病例分析

本文评价了十六家医院连续三个月，因车祸意外（MVC：MotoVehicleCrash）死亡的创伤登记资料，获得以下车祸意外医院内死亡的流行病学特征：4390病人入院，181例死亡，死亡地点主要在急诊科（30．9％）和ICU（42％）。死亡病人的55．2％死于创伤后24小时内，44．8％死于24小时后，有2个死亡年龄高峰组，分别是21－40岁和61－80岁，中枢神经系统损伤占各类损伤的52％．井发症占整个死亡原因的5％，死亡病例平均并发症发生均数为1．453，死亡病人并发症发生率与存活病人有明显差异．在所有并发症中，心血管、ARDS、败血症分别各占39（21．5％）、34（18.8％）和18（9．9％）．本文也比较院内各阶段死亡病例，其RTS*、ISS*、PS*、GCS*有统计学差异．

AN ANALYSIS OF MVC DEATHS OCCURRING IN HOSPITAL

This paper reviewed Trauma Regisrry Data of all motor vehicle crash(MVC) death occurring in 16 hospitals over 30 months to determine the epidemiologic features of MVC deaths in hospitals: 4390 patients were admitted. Location of death was main ly at emergency room (ER) (30. 9%) and ICU (42% ). Of the nonsurvivers, 52% died within 24 hours ;44. 8% died after 24 hours,The two peak age group of death were 21 40 years old group and 61 - 80 one respec tively. CNS injury was responsible for 52% of death. The mean complications of the died was 1. 453 which differed significatly from that (0. 2554) of the servivors. Among complications, cardiovascular, ARDS and sepsis were 39 (21. 5%), 34 (18. 8%) and 18 (9. 9% ) respectively. The study also did comparison of deaths in different phases of hospital and found that patients who died in some different phases differed significantly in revised trauma score (RTS),injury severi ty score and probility of surval (PS) at the 0. 05 level.