【摘要】 目的探讨老年急救创伤患者的临床特征和干预分析,为提高老年创伤患者临床急救的有效率提供参考。方法选取来本院急诊科就诊的400例老年创伤患者为观察对象,回顾性分析其临床资料。结果老年急救创伤患者的病因以交通事故伤发生率最高,占47.25%;400例老年急救创伤患者中83例死亡(死亡组),317例存活(存活组),死亡组患者的急诊到手术时间和创伤严重程度评分(ISS)值均明显多于存活组(P<0.01、P<0.05);其中有69例(83.13%)患者死于多器官功能障碍衰竭;不同ISS分段患者的死亡率有显著差异,得分越高,患者死亡率越高;343例(85.75%)患者为骨折伤;存活患者中并发症发生率为13.56%,后遗症发生率为24.92%。结论老年创伤急救患者的病情复杂,故临床上应尽快给予急救措施,缩短抢救时间,保证抢救质量,能有效提高患者的抢救率以及生活质量。更多还原

【Abstract】 Objective To explore the clinical characteristics of first aid for the elderly with trauma and the intervention effect so as to provide reference for raising the efficiency. Methods A retrospective analysis was made to clinical data of 400 elderly with trauma in emergency department. Results The incidence of trauma caused by traffic accidents was the highest, accounting for 47.25%; out of the 400 elderly, 83 died and 317 survived; the time from emergency to operation and ISS scores in death group were significantly longer and higher than those in survival group(P<0.05); 69 elderly(83.13%) died of multiple organ dysfunction syndrome(MODS); there was a significant difference in mortality among the different ISS score segments,and higher scores led to higher mortality; 343 elderly(85.75%) suffered from fractures; the incidence of complications and sequelae was 13.56% and 24.92% respectively in survival group. Conclusions The condition of the elderly with trauma for first aid is complicated; the first aid measures should be taken as soon as possible to shorten the rescue time and to ensure the quality of rescue, thus, the rescue rate and quality of life of the elderly can be greatly improved.更多还原