摘要
目的:分析广州地区交通事故伤流行病学特点,树立全民安全意识,提高机动车辆致伤早期救治率。方法:回顾分析广州市120急救指挥中心1992年2月～1999年12月收治的4772例因机动车事故致伤病例,经33家急救网络医院机动车车祸记录,结合我院急诊科和住院病案进行分类总结。结果:本组4772例交通伤伤员中来我院首诊者496例,多系统损伤210例,多发性骨折51例,两者占总数的52％,单发伤占48％,多发伤伤员行创伤严重度计分,按ISS-90方法进行ISS评分,≤15分54例,16～20分116例,31～45分30例,46～60分4例,≥61分6例,平均ISS为21.4分,而我院急诊科对非机动车所致交通伤的ISS平均为14.6分。本组发生休克108例,占21.8％,从造成事故的车型上分析,本组摩托车伤2083例(43.6％),居第一位。广州交通事故的特点是人流量大,机动车和自行车多,交通设施不完善和人车混合流动,是造成交通事故的重要原因。结论:交通汽车医学是一门综合性跨学科的学科,要研究交通安全,减少车辆及其所造成的伤亡,关键要了解机动车事故的流行病学特点,加强交通法规的宣传教育,树立全民交通安全意识,完善急救医疗体系。
Objective: To analyze the epidemiological features of the traffic accidents in GuangZhou city, set up general consciousness of security and improve the rate of the treat and cure of traffic injuries. Methods: Review analyze 4772 cases of traffic accidents from in Guangzhou, These cases were recorded by 33 emergency network hospitals, combined our informations, these data were classified and summarized. Results: Among 4772 cases of traffic injures, 496 cases were first aided in our hospital, 210 cases with multi-organ injuries, 51 cases with multiple fractures. These two kind of injuries represent 52 percent of the all, single injury 48 perceent. The conditions of these cases were graded according to ISS-90, The marks of cases with multiple injuries were as these, 54 cases were below 15 point, 116 eases between 16 to 30, 30 eases between 31 to 45, 4 csaes 46 to 60, 6 cases above 61, the average ISS was 24.1 points, whereas, the average of non-traffic injuries in our hospital was 14.6 points. Among these cases, 108 cases were attacked by shock(21.8％), based on the types of vehicles, 2083 cases were wounded by motorcycles(43.6％), ranged the first. Many motor vehicles and bicycles, bad traffic and control, these were the main causes of traffic accidents. Conclusions: The traffic vehicle medicine is a kind of general medicine related to other courses. In order to improve curative rate and reduce maim rate, the treatment of traffic injuries should be not only studied, but also awere of the importance of traffic safety, reduce the wound and death of traffic accidents. It is important to understand the epidemic features of traffic accidents, strengthen the propagation and education of traffic laws and regulations, establish general traffic safety consciouness, perfected first aid medical system.
出处
《岭南急诊医学杂志》
2000年第4期175-177,共3页
Lingnan Journal of Emergency Medicine
关键词
交通伤
救治
traffic injury
treatment
