车祸导致的严重多发性创伤患者的临床急救对策分析

许晓军

（西安凤城医院，陕西 西安，710016）

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摘要：

目的 分析针对性的临床急救方式对因车祸导致的严重多发性创伤的疗效。方法 应用随机列表法抽取于2015年3月至2016年3月在医院急诊科抢救的因车祸致严重的多发性创伤患者300例，将其平均分成对照组与试验组，每组150例。 对照组实施常规的急救方案，而试验组实施针对性的急救方式。比较两组患者的急救效果、各生命体征指标恢复时间、住院时间和不良反应发生情况。结果 试验组患者的各生命体征指标恢复时间和住院时间分别为（5.74±1.10）、（10.26±1.97）d，明显短于对照组的（9.80±2.09）、（17.15±2.33）d，差异具有统计学意义（P<0.05）；而试验组患者的治疗总有效率为92.00%，明显高于对照组的55.33%，差异具有统计学意义（P<0.05）；试验组患者的不良反应发生率为2.00%，明显低于对照组患者的 26.00%，差异具有统计学意义（P<0.05）。结论 针对性的急救方案对于因车祸造成的严重性多发性创伤疗效显著，可显著缩短患者的各生命体征指标恢复时间及住院时间，降低各类不良反应的发生。
 

关键词：针对性急救方式；车祸；严重性多发性创伤

中图分类号：R641文献标志码：A文章编号：2096-1413(2017)26-0062-02

Clinical emergency countermeasure analysis of severe multiple trauma caused by car accident
XU Xiao-jun
(Xi``an Fengcheng Hospital, Xi``an 710016, China)

ABSTRACT: Objective To analyze the effect of clinical emergency countermeasure of severe multiple trauma caused by car accident. Methods A total of 300 cases of patients with severe multiple trauma caused by car accident in our emergency department of hospital from March 2015 to March 2016 in the hospital were selected, which were divided into control group and experimental group, with 150 cases in each group. The patients in control group received routine emergency plan, while the patients in experimental group carried out the clinical emergency countermeasure. The first aid efficacy, the recovery time of vital signs and indexes, length of stay and adverse reactions were compared between the two groups. Results The recovery time of vital signs and indexes and length of stay in the experimental group were (5.74±1.10), (10.26±1.97) d, which were shorter than (9.80±2.09), (17.15±2.33) d respectively in the control group, and the differences were statistically significant (P<0.05). The total effective rate of the experimental group was 92.00%, which was significantly higher than 55.33% of the control group, and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the experimental group was 2.00%, which was significantly lower than 26.00% in the control group, and the difference was statistically significant (P<0.05). Conclusion The effect of clinical emergency countermeasure of severe multiple trauma caused by car accident is significant, which can not only significantly shorten the recovery of vital signs and indexes and length of stay of patients, but also reduce all kinds of incidence of adverse reactions.
KEYWORDY: clinical emergency countermeasure; car accident; severe multiple trauma

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