Zhu X G
Zhonghua Yi Xue Za Zhi. 1989 Jan;69(1):17-9, 4.
From 1983 to 1987 there were 144 patients with serious trauma who were given first-aid in the emergency room of our hospital. Sixty of them died (41.7%). The mortality was 56% (1983-1984) and 29.8% (1985-1987) (P less than 0.05). Our experience included: 1. to perform intratracheal intubation or tracheostomy at once for decreasing the mortality of the comatose or asphyxial patients, 2. to transfuse large quantity of liquid quickly and enough quantity of blood for treating shock; 3. learn to be more familiar with multiple injury for reducing diagnostic mistake; 4. to provide with excellent medical services and raise the efficiency of first-aid for decreasing the mortality of serious trauma in the emergency room.
1983年至1987年期间，我院急诊室共收治144例严重创伤患者并给予急救。其中60例死亡（41.7%）。死亡率在1983 - 1984年为56%，1985 - 1987年为29.8%（P<0.05）。我们的经验包括：1. 立即行气管内插管或气管切开以降低昏迷或窒息患者的死亡率；2. 快速大量输注液体及足够量的血液以治疗休克；3. 更加熟悉多发伤以减少诊断失误；4. 提供优质医疗服务并提高急救效率以降低急诊室严重创伤患者的死亡率。
