| 摘要: |
| ［摘要］ 目的 探讨基层医院多发性创伤的临床特点及救治措施，提高急诊救治多发伤的成功率。方法 回顾性分析2010-02～2014-09宾阳县人民医院收治的66例多发性创伤患者的临床资料。结果 本组抢救成功56例，成功率为84.85%，死亡10例，病死率为15.15%。3种不同ISS评分者病死率比较差异有统计学意义（P<0.01）。合并有颅脑损伤者病死率为23.33%，高于未合并颅脑损伤者的8.33%，但比较差异无统计学意义（P>0.05）。结论 多发性创伤致病因素多种多样，创伤程度ISS评分对多发性创伤患者预后评估具有一定指导价值，临床上对合并颅脑损伤的多发性创伤患者应加以重视。 |
| 关键词: 多发性创伤 基层医院 救治体会 |
| DOI：10.3969/j.issn.1674-3806.2016.02.17 |
| 分类号:R 641 |
| 基金项目: |
|
| The experience of primary hospital in the treatment of multiple injuries |
|
HUANG Ke-zan
|
|
Department of Emergency, the People′s Hospital of Binyang County, Guangxi 530405, China
|
| Abstract: |
| ［Abstract］ Objective To investigate the clinical characteristics and therapeutic measures of multiple injuries in primary hospital.Methods Sixty-six patients with multiple injuries who were treated in the people′s hospital of Binyang county from February 2010 to September 2014 were analyzed retrospectively.Results Fifty-six patients(84.85%) were successfully cured. 10 cases(15.15%) died. There were significant differences in the mortality rates in the different patient with the three types of ISS scores(P<0.01). The mortality rate was 23.33% in the patients with complicated brain injuries, and it was 8.33% in the patients without complicated brain injuriy(P>0.05).Conclusion The multiple injuries have various causes and ISS score can be used to predict the prognosis for multiple injuries. It needs to pay more attention to the patients with multiple injuries complicated with brain injuries. |
| Key words: Multiple injuries Primary hospital Treatment experience |
