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目的了解上海浦东新区某医院急诊创伤患者的流行病学特征,为创伤救治决策提供数据支持。方法对2011年1月~2013年5月期间录入上海市浦东新区人民医院《创伤数据库系统》V3.0的5 070例急诊创伤患者的年龄、性别构成,致伤原因、创伤类型、受伤部位和治疗结果等进行分析。结果所纳入的急诊创伤患者中,年龄分布为3~100岁,平均(49.6±3.2)岁;男女比例为2.02∶1。前三种致伤原因为:跌倒/坠落伤(45.97%)、道路交通伤(31.72%)、钝器伤(11.76%);前三种受伤类型为:四肢脊柱伤(49.45%)、头颅伤(23.77%)、胸部伤(12.39%)。治疗总有效率为90.14%,其中治愈率为62.13%、好转率为28.01%;90d病死率为0.97%。结论《创伤数据库系统》V3.0的应用分析表明该医院急诊创伤患者存在较明显的流行病学特征,其对医院创伤急救的资源配置和流程安排有重要的指导价值。
Objective To understand the epidemiological characteristics of emergency trauma patients in a hospital in Shanghai Pudong New Area and provide data support for the decision-making of trauma rescue. Methods From January 2011 to May 2013, 5 070 emergency trauma patients admitted to the “Trauma Database System” V3.0 of Pudong New Area People’s Hospital of Shanghai City were evaluated for age, sex, causes of injury, types of trauma, injured sites and Treatment results and other analysis. Results Among the emergency trauma patients included, the age distribution ranged from 3 to 100 years (mean, 49.6 ± 3.2) years. The male-to-female ratio was 2.02: 1. The first three injuries were: fall / fall injury (45.97%), road traffic injury (31.72%) and blunt injury (11.76%). The first three injuries were: spondylolisthesis (49.45%), (23.77%), chest injury (12.39%). The total effective rate was 90.14%. The cure rate was 62.13%, the improvement rate was 28.01% and the 90d mortality rate was 0.97%. Conclusion The application analysis of “Trauma Database System” V3.0 shows that there is obvious epidemiological characteristics in emergency trauma patients in this hospital, and it has important guiding value for resource allocation and flow arrangement of hospital emergency trauma.