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我院作为济南地区120急救中心指挥单位,1999年9月～2000年9月间外科急症收治重症创伤患者374例,包括颅脑外伤(颅骨骨折,颅内出血,硬膜下,外血肿,蛛网膜下腔出血,脑疝,脑挫伤及广泛头皮裂伤);四肢脊柱外伤(胫腓骨,股骨,骨盆,胸,腰椎及上肢骨骨折);腹部外伤(开放性、闭合性腹外伤伴内脏破裂);胸外伤(肋骨骨折、血气胸等)。本文就其流行病学特点及救治原则进行回顾性研究分析、讨论。
In our hospital, as the command unit of 120 emergency center in Jinan area, 374 cases of severe traumatic patients admitted to the hospital from September 1999 to September 2000 included craniocerebral trauma (skull fracture, intracranial hemorrhage, subdural hematoma, arachnoid Lower extremity hemorrhage, hernia, brain contusion and extensive scalp laceration); spine trauma to the extremities (tibiofibular, femoral, pelvic, thoracic, lumbar and upper extremity bone fractures); abdominal trauma (open, closed abdominal trauma with visceral rupture) ; Chest trauma (rib fractures, blood pneumothorax, etc.). In this paper, its epidemiological characteristics and principles of treatment were retrospectively analyzed and discussed.