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
(桂林医学院附属医院 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:将桂林医学院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
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