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潮州市某三级公立医院创伤患者流行病学特征及救治现状分析

Analysis on the epidemiological characteristics and treatment status of trauma in a hospital of level Ⅲ public in Chaozhou City

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目的 分析创伤患者的流行病学特征及救治现状,为创伤公共预防与控制提供支持.方法 收集2018年1月至2020年12月潮州市中心医院收治10 577例创伤患者数据资料,对患者性别、年龄、受伤时间、致伤原因、受伤部位、严重程度、救治情况和预后等进行分析.结果 10 577例创伤患者中,男性6 772例,女性3 805例;创伤发生年龄以18~44岁青年占比最大,为34.1%;创伤死亡年龄以≥60岁老年占比最大,为40.3%;创伤事件在7月份最多,一天中创伤事件在10:00~12:00时段发生最多;最常见致伤原因为交通事故伤(46.0%),最常见受伤部位为头部(36.0%),受伤严重程度以轻症创伤为主(68.2%),手术以清创缝合术为主(35.47%),下肢手术最多(31.97%),以一级手术最多(43.0%),创伤患者并发症发生率为34.88%,最常见并发症为全身炎症反应综合征(13.99%)及休克(10.60%),创伤总病死率为1.22%;住院时间>15 d的病例占比38.40%.结论 创伤以青壮年男性为主,首位致伤原因为交通事故伤,头部为最常见受伤部位,高发时间每年的7月份及每天的10:00-12:00,创伤患者并发症发生率多,住院时间长,耗费医疗资源较大.
Objective The epidemiological characteristics and treatment status of trauma patients were analyzed to provide support for public trauma prevention and control.Methods Data of 10 577 trauma patients admitted to Chaozhou Central Hospital from January 2018 to December 2020 were collected,and gender,age,time of injury,cause of injury,location of injury,severity,treatment and prognosis of patients were analyzed.Results Among the 10 577 trauma patients,6 772 were males and 3 805 were females.The youth aged 18~44 years accounted for the largest proportion of trauma,accounting for 34.1%.The death age of trauma≥60 years old accounted for the largest proportion(40.3%).The most traumatic events oc-curred in July,and the most traumatic events occurred 10:00-12:00 in a day.The most common cause of injury was traffic accident injury(46.0%),the most common injury site was head injury(36.0%),the most severe injuries were mild trauma(68.2%),the most surgeries were dethronation and suture(35.47%),the most surgeries were lower extremity surgery(31.97%),and the most surgeries were first-degree surgery(43.0%).The complication rate of trauma patients was 34.88%,the most common complications were systemic inflammatory response syndrome(13.99%)and shock(10.60%),and the total fatality rate of trauma was 1.22%.The patients who stayed in hospital for more than 15 days accounted for 38.40%.Conclu-sions Trauma primarily affects young and middle-aged males.Traffic accidents are the leading cause of injury,with the head being the most common injury site.Trauma incidents peak in July and during the hours of 10:00-12:00 daily.Trauma pa-tients have a high incidence of complications,prolonged hospital stays,and substantial consumption of medical resources.

TraumaEpidemiological characteristicsTreatmentChaozhou

蓝书祥、洪建文、郭剑虹、李进波、谢宜、陈汇通

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广东省潮州市中心医院医疗质量管理科,广东潮州 521000

创伤 流行病学特征 救治 潮州市

广东省潮州市卫生健康局科研项目

潮卫科研2021119

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(5)
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