严重多发伤急诊救治体会

目的以龙岩市第二医院处理严重多发伤急诊就诊为基础,总结严重多发伤急诊救治的方法和经验。方法选取2006年1月至2009年12月期间入院救治的248例严重多发伤患者为研究对象,在急诊科积极采取抗休克治疗及Ⅰ期急诊手术等方法进行治疗,分析研究治疗结果。结果治愈216例,死亡32例,成功率87.10%,病死率12.90%。死亡原因多见于严重颅脑损伤(7例,占2.82%)、心脏与大血管损伤(13例,占5.24%)、高位脊髓损伤(8例,占3.23%)及严重肝、脾、胰损伤(4例,占1.61%)等。结论医院急诊科作为严重多发伤的首要治疗部门,其多发性创伤的救治过程规范性和有效性的提高,对降低病死率和病残率有着重要的意义。

Severe Multiple Injuries in Emergency Department

Objective On the base of our hospital to deal with serious multiple injuries on emergency department visits, sum up the emergency treatment of severe multiple trauma methods and experience. Methods Choose the 248 patients ,who were in the second hospital of Longyan during January in 2006 to December in 2009 , with severe multiple trauma patients as the research object, actively taking anti-shock therapy and a method of emergency surgery in the emergency department, then analysis of treatment outcome. Results 202 patients were cured, 46 cases of death, the success rate of 81.45%,18.55% mortality. The cause of death more common in severe head injury （7, 2.82%）, heart and major vascular injury （13, 5.24%）, spinal cord injury （8, 3.23%） and serious liver, spleen, pancreas damage （4, 1.61%）. Conclusion Hospital emergency department with severe multiple trauma is the primary treatment sector, the process of the treatment of multiple trauma and the effectiveness specification line improvement is important for reducing mortality and morbidity of great significance.