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目的探讨严重创伤急性死亡的临床特点。方法对140例严重创伤就诊后48 h内死亡病例进行回顾性分析。结果受伤原因中以车祸伤和坠落伤多见,伤员院前和急诊科内停留时间分别为(44.7±5.13)min和(117±20.5)min。结论车祸伤和坠落伤是主要的受伤原因,死亡原因中以脑外伤、创伤性休克为主,医源性因素是重要原因之一。加强院前急救、缩短院前和急诊科的停留时间,尽早手术治疗是减少死亡的关键。
Objective To investigate the clinical features of acute traumatic death. Methods A retrospective analysis of 140 deaths within 48 h after severe trauma was made. Results Injury and crashes were more common in the causes of injuries. The stay time in pre-hospital and emergency departments was (44.7 ± 5.13) min and (117 ± 20.5) min, respectively. CONCLUSION: Traffic accident and fall injuries are the main causes of injuries. Among the causes of death, traumatic brain injury and traumatic shock are the main causes, and iatrogenic factors are one of the important causes. To strengthen pre-hospital care and reduce the length of stay in pre-hospital and emergency departments, early surgical treatment is the key to reducing deaths.