1725例创伤急救患者的流行病学分析

目的了解外伤患者致伤原因和受伤时闯分布情况，为急救该类患者提供帮助。方法通过2005年1月至2006年12月本院出诊及收治的外伤患者共1725例的资料，其中2005年计921例，2006年计804例。分析致伤原因以及受伤和死亡时间段。结果①1725例中共死亡36例。其中2005年死亡22例，占当年病死率为2.3％；2006年死亡14例，占当年病死率为1．7％。②654例（占37．9％）为普通外伤，坠落伤22例（占1.3％）。坠落伤共死亡8例，其中2005年死亡5例，其中2006年死亡3例。③1071例（占62．1％）为交通伤，死亡28例，其中2005年死亡17例，2006年死亡11例。交通伤中有566例（51．9％），发生于18：00—0：00时，且酒后驾车人员肇事301例（占53．2％）。其中2005年198例（占65．8％），死亡12例；2006年103例（占34．2％），死亡6例。结论坠落伤和交通伤是患者死亡最主要的原因，特别是建筑工地的坠落伤较为常见，应加强建筑企业及工人的安全防范意识。交通伤中与电动车有关的损伤及死亡越来越多，应限制其车速，酒后驾车为夜问交通伤的主要原因，应加强监管力度。

Epidemiological analysis of 1725 cases of emergency trauma patients

Purpose To learn about the causes of injured patients and the time distribution helps to give first aid treatments to this kind of patients. Methods To analyze the causes of injured patients and the time distribution according to the material of 1725 external trauma patients from January 2005 to December 2006, in which 921 examples in 2005 and 804 in 2006. Result （1） There are 36 examples from 1725 died in which 22 examples in 2005 took up 2.3% of the whole mortality of that year and 14 examples in 2006 shared 1.7%. （~ 654 examples （account for 37.9%） drop for average injury or wound. Among them there are 22 examples （account for 1.3%） of high fall injury; 8 examples from that died, 5 examples in 2005 and 3 examples in 2006. （2） 1071 examples （account for 37.9%） suffer from traffic trauma, 28 died, 17 examples in 2005 and 11 examples in 2006. A- mong them 566 （51.9%） cause trouble from the time period 18：00-0：00 and 301 examples （accounting for 53.2%）from that is due to drunk driving ineluding 198 examples （account for 65.8%） in 2005, 12 died and 103 examples （account for 34.2%） in 2006, 6 died. Conclusion High fall injury and traffic trauma are the two main reasons for death, especially high fall injury in the building sites. Injuries or death related with the electric motors in the traffic trauma increase sharply. The speed limit should be set. Drunk driving is the main reason for night traffic trauma. Loss having viewpoint with the electric motor ear and die more and more much, to should restrict speed of a vehicle in traffic wound, drinking and driving should improve regulation dynamics for the main cause that traffic at night hurts. The monitoring and management should be strengthened.