论文部分内容阅读
目的:探讨动态CRAMS评分法在成批地震伤员急救中的应用价值。方法:采用CRAMS评分法对1070例地震伤员的伤情严重程度作出分类判断,并观察CRAMS评分的动态变化。结果:本组伤员中轻伤(≥7分)569例,重伤(4～6分)486例,危重伤(≤3分)15例,CRAMS分值越低,死亡率越高,重伤组需要急诊手术干预的比例明显高于轻伤组。CRAMS分值升高,提示病情趋于稳定,分值降低,提示病情恶化。结论:CRAMS评分能较好的反映损伤严重程度和伤情,对成批地震伤员的救治有重要指导意义,其分值的动态变化有助于医务人员及时判定伤情,调整治疗方案。
Objective: To explore the value of dynamic CRAMS scoring method in the first aid of wounded earthquake victims. Methods: The CRAMS score method was used to classify the severity of the injuries of 1070 earthquake victims and to observe the dynamic changes of CRAMS score. Results: There were 569 minor injuries (≥7 points), 486 severe injuries (≤4 points) and 15 cases of critical injuries (≤3 points). The lower the CRAMS score was, the higher the mortality rate was. Emergency surgery intervention was significantly higher than the proportion of minor injuries. CRAMS score increased, suggesting that the disease tends to be stable, lower scores, suggesting that the disease worsened. Conclusion: The CRAMS score can better reflect the severity of injury and injury, which is of great significance to the treatment of batches of earthquake victims. The dynamic changes of scores can help medical staff to determine the injury in time and adjust the treatment plan.