Service des Urgences, CHUV, 1011 Lausanne, Switzerland.
Swiss Med Wkly. 2010 Aug 24;140:w13058. doi: 10.4414/smw.2010.13058. eCollection 2010.
Interpersonal violence is a worldwide social reality which seems to increasingly affect even the safest of countries, such as Switzerland. In this country, road traffic accidents, as well as professional and recreational activities, are the main providers of trauma-related injuries. The incidence of penetrative trauma related to stab wounds seems to be regularly increasing in our ED. The question arises of whether our strategies in trauma management are adapted to deal efficiently with these injuries.
To answer this question, the study analysed patients admitted for intentional penetrative injuries in a tertiary urban emergency department (ED) during a 23 month period. Demographics, conditions of the assault, injury type and treatments applied were analysed.
Eighty patients admitted due to an intentional penetrating trauma accounted for 0.2% of the surgical practice of our ED. The assault occurred equally in a public or a private context, mainly affecting young males during the night and the weekend. Sixty six patients (83%) were treated as out-patients. Only 10 patients needed surgery. None of them required damage control surgery. No patient died and the mean hospital stay was 5.5 days.
The prevalence of stab wounds in Switzerland is low. These injuries rarely need complex, surgical procedures. Observational strategies should be considered according to the patient status.
人际暴力是一种全球性的社会现实，似乎越来越多地影响到即使是最安全的国家，如瑞士。在这个国家，道路交通伤害，以及职业和娱乐活动，是创伤相关伤害的主要来源。我们急诊部（ED）中与刺伤相关的穿透性创伤的发生率似乎在不断增加。我们在创伤管理方面的策略是否能够有效地应对这些伤害，这是一个值得探讨的问题。
为了回答这个问题，本研究分析了在 23 个月的时间内，因故意穿透性损伤而入住我们三级城市急诊部的患者。分析了人口统计学特征、攻击条件、损伤类型和应用的治疗方法。
80 名因故意穿透性创伤而住院的患者占我们 ED 外科手术的 0.2%。攻击同样发生在公共或私人环境中，主要在夜间和周末影响年轻男性。66 名患者（83%）接受了门诊治疗。只有 10 名患者需要手术。他们中没有人需要损伤控制性手术。没有患者死亡，平均住院时间为 5.5 天。
瑞士的刺伤发生率较低。这些伤害很少需要复杂的手术治疗。应根据患者的情况考虑观察性策略。
