对损伤的分析和方法:在印度北部的一级创伤中心的五年经验
Piyush Gupta1, Parvez Mohi Ud Din Dar2, Sahil Gupta3
1Department of General Surgery, Indian Naval Hospital Ship, Kalyani, vizag, Visakhapatnam, Andhra Pradesh, 530005, India.
Chinese journal of traumatology = Zhonghua chuang shang za zhi
|October 14, 2023
概括
脏创伤,在道路交通事故中年轻男性中很常见,通常与其他伤害有关. 非手术治疗通常是成功的,导致死亡率低,而手术干预表明严重的创伤和更高的风险.
科学领域:
- 创伤外科 手术 创伤外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 紧急医疗 紧急医疗
背景情况:
- 脏创伤是最常见的生殖尿路损伤,通常是道路交通事故 (RTC) 的结果.
- 影像和内血管技术的进步增加了对脏创伤的非手术治疗.
- 这项研究检查了大量创伤队列中的患者人口统计学,管理和结果.
研究的目的:
- 评估损伤患者的人口统计数据.
- 分析用于损伤的管理策略.
- 为了确定一级创伤中心损伤患者的结果.
主要方法:
- 对从2016年1月到2020年12月前性收集的数据进行回顾性分析.
- 包括在北印度一级创伤中心管理的损伤患者 (不包括到达时死亡的患者).
- 数据收集包括人口统计,伤害机制,相关伤害,管理,停留时间和死亡率;使用SPSS进行分析.
主要成果:
- 303名脏创伤患者,主要是年轻男性 (86.5%),患有RTC (62.7%) 和跌倒 (21.4%) 的突击创伤 (89.1%).
- 第三级脏创伤最常见 (30.4%),经常与肝脏 (34.3%) 和脏创伤 (31.7%) 相关.
- 85.8%的患者进行了非手术治疗;死亡率为8.3%,仅限于患有相关伤害的患者.
结论:
- 损伤主要影响年轻男性,通常是由于RTC和跌倒,很少被孤立.
- 建议使用增强对比度的CT比使用FAST进行更准确的诊断和分级.
- 非手术治疗是有效的,死亡率低;手术表明严重的创伤和更高的风险.
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