Hemmati Hossein, Kazemnezhad-Leili Ehsan, Mohtasham-Amiri Zahra, Darzi Ali Asghar, Davoudi-Kiakalayeh Ali, Dehnadi-Moghaddam Anoush, Kouchakinejad-Eramsadati Leila
Department of Surgery, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran.
Department of Biostatistics, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran.
Arch Trauma Res. 2013 Winter;1(4):161-5. doi: 10.5812/atr.7672. Epub 2013 Feb 1.
Trauma, especially chest and abdominal trauma are increasing due to the growing number of vehicles on the roads, which leads to an increased incidence of road accidents. Urbanization, industrialization and additional problems are the other associated factors which accelerate this phenomenon. A better understanding of the etiology and pattern of such injuries can help to improve the management and ultimate the outcomes of these patients.
This study aimed to evaluate the patients with chest and abdominal trauma hospitalized in the surgery ward of Poursina teaching hospital, Guilan, Iran.
In this cross-sectional study, the data of all chest and abdominal trauma patients hospitalized in the surgery ward of Poursina teaching hospital were collected from March 2011 to March 2012. Information about age, gender, injured areas, type of injury (penetrating or blunt), etiology of the injury, accident location (urban or rural) and patients' discharge outcomes were collected by a questionnaire.
In total, 211 patients with a mean age of 34.1 ± 1.68 years was entered into the study. The most common cause of trauma was traffic accidents (51.7%). Among patients with chest trauma, 45 cases (35.4%) had penetrating injuries and 82 cases (64.6%) blunt lesions. The prevalence of chest injuries was 35.5% and rib fractures 26.5%. In chest injuries, the prevalence of hemothorax was 65.3%, pneumothorax 2.7%, lung contusion 4% and emphysema 1.3%, respectively. There were 24 cases (27.9%) with abdominal trauma which had penetrating lesions and 62 cases (72.1%) with blunt lesions. The most common lesions in patients with penetrating abdominal injuries were spleen (24.2%) and liver (12.1%) lesions. The outcomes of the patients were as follow: 95.7% recovery and 4.3% death. The majority of deaths were observed among road traffic victims (77.7%).
Considering the fact that road-related accidents are quite predictable and controllable; therefore, the quality promotion of traumatic patients' care, and the road safety should be noted as problems associated with public health.
由于道路上车辆数量不断增加，创伤尤其是胸部和腹部创伤的发生率正在上升，这导致道路交通事故的发生率增加。城市化、工业化及其他问题是加速这一现象的相关因素。更好地了解此类损伤的病因和模式有助于改善对这些患者的管理并最终改善其预后。
本研究旨在评估在伊朗吉兰省布尔西纳教学医院外科病房住院的胸部和腹部创伤患者。
在这项横断面研究中，收集了2011年3月至2012年3月在布尔西纳教学医院外科病房住院的所有胸部和腹部创伤患者的数据。通过问卷调查收集有关年龄、性别、受伤部位、损伤类型（穿透性或钝性）、损伤病因、事故发生地点（城市或农村）以及患者出院结局的信息。
共有211例平均年龄为34.1±1.68岁的患者纳入研究。创伤的最常见原因是交通事故（51.7%）。在胸部创伤患者中，45例（35.4%）为穿透伤，82例（64.6%）为钝性损伤。胸部损伤的患病率为35.5%，肋骨骨折为26.5%。在胸部损伤中，血胸的患病率为65.3%，气胸为2.7%，肺挫伤为4%，肺气肿为1.3%。有24例（27.9%）腹部创伤患者为穿透性损伤，62例（72.1%）为钝性损伤。穿透性腹部损伤患者中最常见的损伤是脾脏（24.2%）和肝脏（12.1%）损伤。患者的结局如下：95.7%康复，4.3%死亡。大多数死亡病例出现在道路交通受害者中（77.7%）。
考虑到与道路相关的事故是相当可预测和可控的；因此，应将提高创伤患者的护理质量和道路安全视为与公共卫生相关的问题。
