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目的 了解伤害病人急诊治疗的情况及其伤害发生的特点及规律,为伤害预防策略的制定提供科学依据。方法 自1999年11月21日至2000年11月20日期间,凡因有意或无意导致身体受创伤的伤害者首次就诊于我们监测医院急诊室的病人均为本研究的调查对象,接诊医护人员亲自询问调查对象,统一填写调查表格。结果 本研究共收集到2611名受伤害者的情况,男、女性别比为2.5:1。意外伤害占伤害总人数的80.8％,其中,道路交通伤占到56.8％,在伤害类型中居首位。不同年龄组的伤害发生构成比不同(P<0.01),20～35岁的伤害病人的构成比最高(占47.2％),在该年龄组中,道路交通伤占76.9％。对不同职业伤害病人的构成比分析显示:工人>学生>农民>经商>干部职员>学前儿童(P<0.01)。发生于路上的伤害事件占首位(49.3％),其中93％的伤害为道路交通伤,伤害发生部位以头部的构成比最高(36.8％),其中52％是道路交通伤,以冬季发生的受伤害人数最多(占33.2％);自伤/自杀集中发生在9～11月。道路交通伤的受伤害的人数以周末最高(占36％)。82％的伤害病人痊愈,14％的伤害病人留下残障,4％的伤害病人医治无效而死亡。结论 伤害的急诊室监测资料是有价值的,也是伤害发生情况的重要信息来源,同时体会到伤害的急诊室监测尚存在一些问题及局限性,目前
Objective To understand the emergency treatment of injured patients and the characteristics and rules of their injuries and provide a scientific basis for the formulation of injury prevention strategies. Methods From November 21, 1999 to November 20, 2000, all the patients who had been injured by intentional or unintentional trauma for the first time in our hospital monitoring the emergency department of the hospital were the subjects of this study. Medical consultation Personnel personally asked the survey, unified fill in the survey form. Results A total of 2,611 injured people were collected in this study, with a male / female ratio of 2.5: 1. Accidental injuries accounted for 80.8% of the total number of injuries, of which road traffic injuries accounted for 56.8%, ranking first in injury types. The proportions of injuries in different age groups were different (P <0.01), and those in 20-35 years old were the highest (47.2%), with road traffic injuries accounting for 76.9%. The compositional analysis of patients with different occupational injuries showed that workers> students> farmers> business> cadres and staff> preschool children (P <0.01). Occurred on the road injury accounted for the first (49.3%), of which 93% of the injuries were road traffic injuries, the injury occurred in the highest part of the head structure ratio (36.8%), of which 52% were road traffic injuries occurred in winter Injured the most (33.2%); self-injury / suicide occurred in 9 to November. The number of road traffic injuries hit the weekends (36%). 82% of the injured patients were cured, 14% of the injured patients were disabled and 4% of the injured patients died of ineffective treatment. Conclusion It is valuable to monitor the data of the emergency department of injury, which is also an important source of information on the occurrence of the injury. At the same time, there are still some problems and limitations in the emergency room monitoring of injuries.