综合性医院收治突发群体交通伤患者的特征分析

摘要

Objective To explore the epidemiological characteristics of group traffic trauma emergency to provide the scientific basis for formulating emergency plan for the healthcare bureau.Methods The data of group traffic trauma emergency were collected in a prospective manner.An analysis on the case number of group traffic trauma emergency,distribution of accident time,pre-hospital treatment and number of patients in a general hospital from 2002 to 2011 was performed.Results From 2002 to 2011,147 cases of group traffic trauma accidents occurred,involving 825 case times of the injured or death,with male to female ratio of 1.43∶1.Out of the 825 case times,736 aged 10 to 59 years accounted for 89.21%.The traffic accidents mostly occurred in 8∶00-12∶00,12∶00-16∶00 and 20∶00-24∶00,from July to October and from January to March.The top three injury sites were head and face,multiple injuries and lower limb.Pre-hospital treatment was performed in 129 cases of group traffic trauma emergency which accounted for 87.76%.There were 141 case times (17.09%) of severe case,21 cases(2.55%) died on the spot.Conclusion The epidemiological characteristics of group traffic trauma emergency offer the scientific basis for formulating the corresponding emergency plan and carrying out the treatment and control of group traffic trauma emergency for the healthcare bureau,which is of great significance in improving the quality of group traffic trauma emergency treatment and control.%目的：探讨突发群体交通伤的流行病学特点，为卫生主管部门制订应急预案提供科学依据。方法采用前瞻性资料收集的方法，对2002～2011年该院救治的突发群体交通伤事件的宗数、发生时间分布、有否院前急救参与、伤者人数等进行统计分析。结果2002～2011年共救治147宗突发群体交通伤事件。伤亡人数825例次，男女比例为1．43∶1。以10～59岁年龄段发生人数多，共736例次，占89．21％；相对集中发生在7～10月和1～3月，每日分布较为集中在8∶00～12∶00、12∶00～16∶00，20∶00～24∶00时段。最常见的损伤部位是头面，其次为多发伤、下肢。院前急救参与129宗占87．76％。危重病人141例次占17．09％，现场死亡21例占2．55％。结论突发群体交通伤患者流行病学的特点为本地区制定相应的应急预案，开展突发群体交通伤防治工作提供了科学依据，对提高突发群体交通伤救治质量有重要意义。