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目的:探讨急诊外科创伤患者病死危险因素及急救措施。方法:选取我院收治的48例创伤患者行回顾性分析,统计所有患者相关资料,采用Logistic分析对其病死原因及危险因素进行相关研究。结果:48例患者中死亡15例(31.25%),其中以20~50年龄段创伤患者病死率最高,明显高于其他年龄段,数据差异明显,具有统计学意义(P<0.05);病死原因主要为车祸、高空坠落,Logistic多因素分析结果显示,引起创伤患者病死的主要危险因素有年龄、现场急救、机械通气、ISS评分及GCS评分。结论:专业的急救系统及高水平的急救团队、迅捷的应急机制、对院前急救盒院内急诊急救水平的强化,是保证创伤患者得到及时救治、提高生存率的重要因素。
Objective: To investigate the risk factors of death and emergency measures in emergency surgical trauma patients. Methods: Forty-eight traumatic patients admitted to our hospital were retrospectively analyzed. The data of all the patients were statistically analyzed. Logistic analysis was used to analyze the cause of death and the risk factors. Results: Among the 48 patients, 15 cases died (31.25%), of which 20 to 50 were the highest, the mortality was significantly higher than the other age groups, the data were significantly different (P <0.05); the cause of death Mainly a car accident, altitude fall, Logistic multivariate analysis showed that the main risk factors for death caused by trauma patients were age, first aid, mechanical ventilation, ISS score and GCS score. Conclusion: The professional emergency rescue system, high-level emergency team, quick response mechanism and strengthening of first-aid emergency room in front-hospital first-aid kit are important factors to ensure that trauma patients get timely treatment and improve survival rate.