【摘要】 目的了解丽水市创伤患者流行病学特征和救治状况,为提高本地区创伤预防和救治水平提供科学依据。方法回顾性收集2009年1月-2013年12月丽水市人民医院收治的3 146例创伤患者临床资料,并对性别、年龄、受伤时间、致伤部位、致伤原因、院前急救、急诊室救治以及ICU治疗等信息进行统计分析。结果创伤患者以男性为主,占69.96%;年龄分布以20~60岁年龄组居多,占到77.62%;首位致伤原因为交通事故,占53.72%,头面部损伤达42%;创伤发生的高峰时段为8-20时。67.99%的创伤患者院前时间在1 h之内;急诊室滞留时间不超过2 h的比例达95.39%以上;住院时间超过两周的病例高达34.37%,住ICU超过2周的病例占11.28%。结论创伤以青壮年男性为主,头面部为最常见损伤部位,首位致伤原因为交通事故,创伤院前急救较薄弱。应加强创伤预防与干预,合理配置院前急救资源。更多还原

【Abstract】 Objective To investigate the epidemiological features and treatment status of patients with trauma in Lishui City so as to provide scientific evidence for improving the level of trauma prevention and treatment. Methods We retrospectively collected the clinical data about 3,146 trauma patients hospitalized in the People’s Hospital of Lishui City from January 2009 to December 2013,and then statistically analyzed the parameters,such as gender,age,time of injury,injury parts,causes of injury,care in pre- hospital,emergency treatment and ICU treatment. Results Most of the trauma patients were male( 69. 96%),and the patients aged 20- 60 years accounted for 77. 62%. The leading cause of injuries was traffic crash( 53. 72%),and the head- face injury reached 42%. The peak period of injury accidents was between 8 a. m. to 8 p. m.. The patients with pre- hospital time for less than 1 hour accounted for 67. 99%,and the proportion of emergency treatment for less than 2 hours was above95. 39%. The patients with hospitalization for more than 2 weeks reached 34. 37%,and those with ICU treatment for more than 2weeks accounted for 11. 28%. Conclusions The majority of trauma victims are male adults,and the head- face is the most frequent injury part. The leading cause of injuries is traffic accident. The pre- hospital care is poor; and hence,injury prevention and intervention should be enhanced and the pre- hospital emergency resources should be allocated rationally.更多还原