【摘要】 目的研究西藏高原地区创伤病人临床诊治特点,为提高救治成功率提供依据。方法回顾分析2008年8月～2010年7月在西藏山南地区某部中心医院的门急诊创伤病人临床资料。主要统计指标包括门急诊创伤患者人数、伤后入院时间、伤情伤类分布、主要救治效果及转归,并对死亡患者构成及相关原因进行分类和汇总。结果该院2008年8月～2010年7月期间门急诊创伤病人总数共计1 453人,收住院人数612人,占总住院人数比例20.3%;其中轻伤占39.78%,中度伤占29.57%,重度伤占18.72%,危重伤占11.93%。创伤患者受伤后到院就诊时间相差极大,但大多超过1h;共死亡135人(占9.29%),其具体原因除严重原发伤外,主要包括创伤性休克、急性呼吸窘迫综合征(ARDS)和脓毒症等严重并发症。结论创伤是高原地区高发病,具有较高死亡率。需要加强创伤急救网络等基础设施建设,重视低氧血症对高原地区创伤患者救治结局及机制的影响,注重创伤急救的时效性和整体性,防治创伤性休克及各种严重并发症,以提高高原地区创伤救治成功率。更多还原

【Abstract】 Objective To analyze the clinical characteristics of traumatic patients of plateau area in Tibet,so as to improve its treatment and prognosis.Methods The clinical data of traumatic patients from Aug.2008 to Jul.2010 in a central military hospital in Shannan Tibet were retrospectively analyzed.The main indices included patients’ number,admission time,injury degree,outcome and death reasons.Results There were 1453 traumatic patients,including 39.78% mild injuries,29.57% medium injuries,18.72% severe injuries and 11.93% critical injuries.Totally 612 cases were admitted to the hospital wards,accounting for 20.3% of all admitted patients.Totally 135 cases(9.29%) died due to severe primary injury or trauma related complications such as traumatic shock,acute respiratory distress syndrome and sepsis,etc..Conclusion Trauma occurs in plateau area with high morbidity and mortality.It is necessary to establish trauma emergency service system,pay attention to the effects of hypoxemia on the outcome and mechanisms of traumatic patients,enhance the time effectiveness and integrity,so as to prevent and treat severe complications and improve the prognosis of traumatic patients in plateau area.更多还原