摘要
目的 研究在白金10min内快速判断创伤程度，并启动创伤小组救治流程。方法 回顾性总结我部1992-2005年中等严重度以上2428例创伤患者抢救的早期处置，采用①经验判断和徒手查体；②四项启动创伤小组指标（A检查生命体征和意识水平；B评价解剖创伤；C评价有证据的损伤机制和高能因素；D基础情况）；③系统查体三步骤进行快速的伤情判断。结果 按我院创伤严重度分类：中度1250例（51．5％）、重度838例（34．5％）、极重度340例（14．0％）。2428例患者中，经徒手血压判断有961例（39．6％）血压低于90mm Hg；经创伤小组启动指标A、B两项判断，92．1％的病例需要启动创伤小组救治流程。结论 可以在1 min内多部位徒手触诊迅速判断异常血压，且有一定的准确性；本研究的三步骤可大部分在1～3min内、部分在3～7min内启动创伤小组救活流程。在白金10min初步快速判断伤情在救治流程中具有重要意义。
Objective To discuss the significance of assessing the extent of trauma during EPTM to start the emergency flowchain. Methods Analyzing retrospectively the early assessment of 2428 trauma patients, adopting the three - step way：①assessing the extent of trauma experientially and examining the patients manually;②four indexes for starting the emergency flow - chain, including： A. the vital signs and consciousness; B. the anatomical extent; C. the mechanism of trauma; D. the basic physics and diseases ;③examining patients systemically. Results Blood pressure of 961 （39.6%） patients were less than 90 mmHg by assessing by hand ; The emergency flow - chain should be activated for 92.1 percents of the patients determined by the factor A and B ; According to our classification, 1250 （51.5 % ） cases were in moderate degree, 838 （34.5 % ） cases in severe degree and 340 （ 14.0% ） cases in critical degree. Conclusions Assessing blood pressure by hand was in a certain accuracy and rapid within or less than 1 minute ; The three - step activation of the emergency flow - chain in this study was started within 1 to 3 minutes in the majority and within 3 to 7 minutes in part. Assessing the trauma rapidly during EPTM has significant role in the emergency flow -chain activation.
出处
《中国急救医学》
CAS
CSCD
北大核心
2006年第5期339-341,共3页
Chinese Journal of Critical Care Medicine
关键词
急救白金十分钟
创伤评估
徒手判断伤情
创伤流程
Emergency platinum ten minutes （EPTM）
Trauma assessment
Trauma algorithm
Trauma Flow - Chain
