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目的:对急诊外科创伤患者死亡原因进行系统探讨,并研究提高抢救成功率的对策。方法:对2013年10月到2015年10月我院急诊科接诊的83例创伤死亡患者的临床资料进行回顾性分析,并对影响患者死亡的因素进行回归分析。结果:本组83死亡患者中,48例为院前死亡,主要是头部、胸腹部创伤;死亡原因主要是交通事故,其次是高空坠落、重物重创等;急诊外科创伤患者死亡的主要危险因素是年龄、GCS及ISS评分、机械通气及现场急救等方面。结论:急诊外科创伤死亡原因较多,以交通事故为主;患者的年龄、现场急救措施及创伤评分等主要的危险因素,应加强院前急救,做好诊断工作,以提高急救成功率。
OBJECTIVE: To systematically investigate the causes of death in emergency surgical trauma patients and to study ways to improve the success rate of rescue operations. Methods: The clinical data of 83 patients with traumatic death who were admitted to the emergency department of our hospital from October 2013 to October 2015 were analyzed retrospectively. The factors influencing the death were retrospectively analyzed. Results: Of the 83 deaths in this group, 48 were pre-hospital deaths, mainly head, chest and abdomen traumas. The main causes of death were traffic accidents, followed by falls from high altitudes and heavy loads. The major risks of death from emergency surgical trauma The factors were age, GCS and ISS score, mechanical ventilation and first-aid on-site. Conclusions: There are many causes of death in emergency surgical trauma, which are mainly traffic accidents. The main risk factors such as patient’s age, emergency measures on site and trauma score should be strengthened and the diagnosis should be strengthened to improve the emergency success rate.