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笔者根据 Gormican SP 的 CRAMS 评分法(Ann EmergMed,1982,11:132),自1992年7月起,对410例交通事故患者进行评分、分类。报告如下。临床资料 410例成批交通事故患者,CRAMS 评分0～7分97例(23.7%),死亡52例,占该分段患者数的53.6%。其中急诊科死亡30例,院内死亡22例。各分值死亡例数的百分数,随分值降低而逐级增加。0分20例患者全部死亡,其中18例死于急诊科;0～分各分值患者死亡率均在50%以上;5～分各分值患者死亡率在25%以下;7分16例中仅1例死亡(6.3%)。8～10分313例(76.3%),无死亡。评分结果和死亡率见附表。讨论 CRAMS 评分是对刨伤伤情进行简易快速评估、初步判断伤情轻重的一种方法。五项评估内容(每项0～2分)得分相加,从0～10分共11级。分值越低,表示伤情越重。国外常
According to Gormican SP CRAMS score (Ann EmergMed, 1982, 11: 132), since July 1992, 410 cases of traffic accidents were scored and classified. The report is as follows. Clinical data 410 patients in batches of traffic accidents, CRAMS score 0 to 7 points in 97 cases (23.7%), 52 deaths, accounting for 53.6% of the number of patients in this segment. Among them, 30 were emergency department and 22 were hospitalized. The percentage of deaths in each score increases step by step as the score decreases. 0 of 20 patients died of all, of which 18 died of emergency department; 0 ~ score of the mortality of patients were above 50%; 5 points score of mortality in patients with less than 25%; 7 points in 16 cases Only 1 patient died (6.3%). 8 to 10 points 313 cases (76.3%), no death. Scoring results and mortality rates are given in the attached table. Discussion CRAMS score is a simple quick assessment of planing injury, a preliminary assessment of the severity of a method. Five assessment content (each 0 to 2 points) score together, from 0 to 10 points a total of 11 levels. The lower the score, the heavier the injury. Foreign often