【摘要】 目的 分析新疆某三甲医院创伤中心危重创伤患者疾病谱特征，优化临床救治资源配置。方法 纳入2018年6月—2023年6月收治的ISS>16分危重创伤患者1985例，对人口学特征、致伤机制、专科分布及院前滞留进行流行病学分析。结果（1）人口特征：男性占66%(1323例)，年龄中位数为38岁（IQR 25-52）；汉族（48.7%）、维吾尔族（31.3%）为主要群体。（2）损伤机制：交通事故（52.3%）居首，其次为跌倒（18.7%）、高处坠落（12.4%）。（3）专科分布：颅脑外伤（30.9%）与肢体骨折（30.5%）占比最高，复合损伤占24.7%。急诊手术率呈现颅脑外伤65.9%→腹部损伤89.7%→复合损伤96.5%的梯度特征。（4）时段规律：日均就诊高峰为10:00-14:59，谷值在00:00-04:59。（5）多学科滞留：164例滞留>4小时患者中，神经外科占比44.5%，滞留时长与复合损伤程度正相关（β=1.32, P=0.013）。结论 建议改进措施：（1）在10:00-19:59时段增配神外/骨科应急小组；（2）建立颅脑-腹部复合伤优先处置通道；（3）推行创伤骨科与神外联合查房制度。研究证实基于疾病谱特征的资源优化可缩短危重伤滞留时间。更多还原

【Abstract】 Objective To analyze the characteristics of the disease spectrum of critically injured patients in the trauma center of a tertiary hospital in Xinjiang and optimize the allocation of clinical treatment resources.Methods A total of 1985 critically injured patients with an Injury Severity Score(ISS) >16 admitted from June 2018 to June 2023 were included in the study. Epidemiological analysis was conducted on demographic characteristics, injury mechanisms, specialty distribution, and pre-hospital delays.Results (1)Demographic characteristics: Males accounted for 66%(1323 cases), with a median age of 38 years(IQR 25-52); Han(48.7%) and Uyghur(31.3%) were the main groups.(2)Injury mechanisms: Traffic accidents(52.3%) ranked first, followed by falls(18.7%) and falls from heights(12.4%).(3)Specialty distribution: Cranial trauma(30.9%) and limb fractures(30.5%) accounted for the highest proportion, with complex injuries accounting for 24.7%. The emergency surgery rate showed a gradient feature, with cranial trauma at 65.9%,abdominal injuries at 89.7%, and complex injuries at 96.5%.(4)Time pattern: The daily peak in visits occurred between 10:00 and 14:59, with a trough between 00:00 and 04:59.(5)Multidisciplinary delays: Among the 164 patients with delays >4 hours, neurosurgery accounted for 44.5%, and the duration of delay was positively correlated with the severity of complex injuries(β=1.32, P=0.013).Conclusion Recommended improvements include:(1) deploying additional neurosurgery/orthopedic emergency response teams during the10:00-19:59 time period;(2) establishing a priority treatment pathway for combined cranial-abdominal injuries; and(3) implementing a joint trauma orthopedic and neurosurgery ward round system. The study confirmed that resource optimization based on disease spectrum characteristics can shorten the delay time for critically injured patients.更多还原