血凝障碍与迟发性外伤性脑内血肿

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目的:探讨我国严重创伤的伤因、伤情、救治结局及不同地区或医院间的差异。方法:分层抽样回顾前瞻设计,从6省12市县17家医院筛选院前时间≤24小时、mAIS≥3伤员10 428例,调查其伤因、伤势、院前过程和院内处理、结局等指标并评分。结果:我国主要伤因3类12种,占伤因的99.5%;创伤部位以头、四肢和多发伤为主,占75.8%;院前时间随地区而异,与伤因和部位无关,时间越短的RTS越低;手术率79