急诊创伤外科模式在多发伤救治中的应用效果观察 ^①

李 韬 ^a ,郑 宏 ^b ,李 强 ^a ,张 磊 ^a②

(欧洲杯压住平台附属医院 a.急诊创伤外科;b.急诊内科,广西 桂林 541001)

摘要 目的:探讨急诊创伤外科模式在多发伤救治中的应用效果。 方法:将欧洲杯压住平台附属医院急诊创伤外科成立前后救治的多发伤患者 86 例作为研究对象,以成立前收治的 44 例患者为对照组,成立后收治的 42 例患者为研究组。 比较两组术前时间、住院时间、办住院时间、并发症发生率及死亡率。 结果:研究组的术前时间、住院时间、办住院时间、并发症发生率和死亡率均低于对照组,差异均有统计学意义(P<0.05)。 结论:对于多发伤患者,采取急诊创伤外科模式能有效缩短患者的术前时间、住院时间和办住院时间,同时也能降低并发症的发生率和死亡率,具有较高的应用价值。

关键词: 多发伤;急诊创伤外科模式;救治效果

中图分类号:R64 文献标识码:A 文章编号:1008-2409(2022)03-0098-04

Application effect of emergency trauma surgery mode in the treatment of multiple trauma ^①

LI Tao ^a , ZHENG Hong ^b , LI Qiang ^a , ZHANG Lei ^a② .(a. Dept.of Emergency Trauma Surgery; b. Dept. of Emergency; the Affiliated Hospital of Guilin Medical University, Guilin 541001, China)

Abstract Objective: To investigate the effect of emergency trauma surgery mode in the treatment of patients with multiple trauma. Methods: 86 patients with multiple trauma treated before and after the establishment of the Department of Emergency Trauma Surgery of Guilin Medical University were selected as the study subjects. 44 patients admitted before the establishment of department were included in the control group, and another 42 patients admitted after the establishment of department were included in the study group. The preoperative time, length of hospital stays, time required for admission, incidence of complications and mortality were compared between both groups. Results: The preoperative time, length of hospital stays, time required for admission, incidence of complications, and mortality in study group was lower than that in the control group, which were of statistical differences(P<0.05). Conclusions: For patients with multiple injuries, the adoption of emergency trauma surgery mode can not only effectively shorten the preoperative time, hospital stays and time required for admission, but also reduce the incidence of complications and mortality. Besides, it is of high application value.

Keywords: multiple trauma; emergency trauma surgery mode; treatment effect

参考文献:

[1] LOZANO R,NAGHAVI M,FOREMAN K,et al.Global and regional mortality from 235 causes of death for 20 age groupsin 1990 and 2010:a systematic analysis for the global burden of disease study 2010[J].Lancet,2012,380(9859):2095-2128.

[2] 高伟,白祥军.中国创伤中心现状与展望[J].创伤外科杂志,2018,20(4):241-244.

[3] 高子煦,高青,邵钦等.急诊创伤一体化在救治严重多发伤中的应用及探讨[J].中华灾害救援医学,2021,9(3):844-847.

[4] LOCKEY D J,LENDRUM R A.Trauma system development[J].Anaesthesia,2013,68(1):30-39.

[5] HARRIS T,DAVENPORT R,HURST T,et al. Improvingoutcome in severe trauma:trauma systems and initial management:intubation,ventilation and resuscitation[J]. Postgraduate Medical Journal,2012,89(1044):588-594.

[6] 张磊,李韬.急诊创伤外科模式在多发伤救治中的研究进展[J].华夏医学,2021,34(4):185-188.

[7] 张连阳,王正国.多发伤定义的演进[J].中华创伤杂志,2015,31(9):802-804.

[8] 白祥军,刘涛.创伤救治体系建设的问题与对策[J].中华急诊医学杂志,2015,24(5):467-470.

[9] 谭震森,罗翠芳,唐昌盛.危机管理结合一体化创伤急救模式在急诊外伤患者中的应用效果分析[J].中国医药科学,2017,7(13):142-144.

[10] 张茂,赵小纲,白祥军,等.努力提高综合性医院严重创伤急诊救治水平[J].中华创伤杂志,2017,33(11):970-973.

[11] 陈逍堃,林维成,张鹏,等.创伤急救体系的发展与现状[J].北京大学学报(医学版),2017,49(2):368-371.

[12] 杨帆,白祥军,唐朝晖,等.一体化救治模式和损害控制理论在严重多发伤救治中的应用[J].中华创伤杂志,2009(9):843-846

[13] 唐伦先,刘中民,孙贵新,等.基于损伤控制策略的严重多发伤救治模型的临床应用研究[J].中华急诊医学杂志,2019(8):962-965.

[14] 徐信业,尚琳.一体化创伤急救模式在严重多发伤合并失血性休克患者中的应用效果[J].临床医学研究与实践,2021,6(36):55-57.

[15] 周辉,李伟才,凌伟,等.建设一体化创伤救治模式对多发伤患者急救成功率的影响[J].中国农村卫生,2021,13(5):20-22.

[16] 宋永林,李国华.急诊科多发伤救治中损伤控制外科技术的临床标准应用[J].中国标准化,2021(24):219-221.

[17] 白祥军,杨帆.严重创伤/ 多发伤的综合救治[J].临床急诊杂志,2016,17(7):497-499.

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