【摘要】 目的探讨修正创伤指数(RTI)在急诊救治中的指导作用以及RTI评分的界定。方法应用RTI评分对前瞻组(≤9分723例、10～16分1302例、≥17分695例)患者进行评分,并依据评分进行相应的处理。回顾分析回顾组(≤9分571例、10～16分1122例、≥17分622例)患者的评分及处理方法,对比分析两组经RTI评分的患者诊治结果。结果回顾组中RTI评分≤9分者中67例住院患者在后续住院治疗过程中发现实际伤情不太严重,只是单纯的挫伤及裂伤,未出现任何并发症,只需简单的缝合及对症处理、治疗即可;RTI评分10～16分者中120例采取门诊治疗的患者在后续处理过程中均发现病情有不同程度的加重后转入住院治疗。以上均列为诊断处理失误患者。两组不同RTI评分患者诊断处理失误情况间差别有统计学意义(P<0.01)。两组RTI评分≤9分的患者均无并发症发生,两组不同RTI评分患者并发症发生情况间差别有统计学意义(P<0.05)。结论修正创伤指数可作为院前急救时评估创伤严重程度的方法之一,对急救有指导作用,可降低诊断处理失误率,减少并发症。更多还原

【Abstract】 Objective To study guidance role of Revised trauma index(RTI) in emergency remedy and its value grading method.Methods RTI were used to score prospective group(723 cases≦9,1302 between 10 and 16,695 ≧17),and to treat correspondingly based on the scores.Retrospective analysis was performed on retrospective group(571cases ≦9,1122 between 10 and 16,622 ≧17).We analyzed comparatively the diagnosis and treatment results of both groups.Results In retrospective group,not too serious actual traumatic conditions but simple contusions and lacerations were found in 67 of the patients with ≦9 RTI scores,without any complications,only simple suture and symptomatic treatment were needed;the pathogenetic conditions were worsened in varying degrees and hospitalized for further therapy in 120 of those with 10～16 scores after out-patient treatment.The above cases were classified as treatment failures.There was significant difference in failures of diagnosis and treatment between patients with varying scores in 2 groups(P<0.01).The patients with ≦9 of both groups had not complications,there was significant difference between patients with different scores(P<0.05).Conclusion RTI,which can be used as one of methods in assessing traumatic severity in pre-hospital care,is of guidance effect in first-aid.It can reduce diagnostic error rate and complications.更多还原