闭合性腹部外伤患者的院前急救研究

摘要

目的：探讨闭合性腹部外伤患者院前急救措施。方法：选取2010年2月-2013年8月本院收治的60例闭合性腹部外伤患者为研究对象，所有患者均经医务人员院前急救处理，收住院后作相应的手术处理。观察患者腹部外伤愈合情况及生活质量。结果：60例患者平均救治时间为(48.60±0.55)min，1例因合并严重脑外伤引发呼吸抑制发生院前死亡，1例肝损伤合并多发性骨折患者术后因血气胸、肺不张死亡，58例均治愈出院，治愈率96.67%。治疗后生活质量评分明显优于急救前，比较差异有统计学意义(P<0.05)。结论：给予闭合性腹部外伤患者积极、恰当的院前急救处理，可提高患者治疗效果，挽救患者生命，改善患者生活质量。%Objective: To investigate the first aid measures of patients with closed trauma of abdomen.Method: 60 patients with closed trauma of abdomen from February 2010 to August 2013 in our hospital were studied. All patients were received pre-hospital care, and than received appropriate surgery treatment in hospital. Healing and quality of life was observed in patients with closed trauma of abdomen.Result: Average treatment time was (48.60±0.55)min in 60 patients, 1 patient was dead for the merger of respiratory depression caused by severe traumatic brain injury before hospital, 1 patient was dead for pneumothorax, atelectasis caused by liver injury associated with multiple fractures, 58 cases were cured, the cure rate was 96.67%. Quality of life scores after treatment was significantly better than before first aid(P<0.05).Conclusion: Given a positive and appropriate pre-hospital emergency treatment in patients with closed trauma of abdomen, can improve patient outcomes, save lives and improve the quality of life of patients.