Civil I D
N Z Med J. 1986 Sep 24;99(810):714-6.
To establish the spectrum of penetrating trauma presenting to a city hospital and review the results of management, all patients brought to the resuscitation room at Auckland Hospital over a one year period were evaluated. Of 602 patients, only 41 (7%) had penetrating injuries. Thirty-one patients had stab or slashing injuries, seven had gunshot wounds and three had other forms of penetrating injury. Overall mortality was 17% which included 4/31 stab wounds and 3/7 gunshot wounds. Three of the four patients with fatal stab wounds died from exsanguination in the resuscitation room. A system which allows prompt resuscitation and rapid transfer to the operating theatre is needed to improve survival in patients suffering exsanguinating injury.
为确定一家城市医院收治的穿透性创伤范围并回顾治疗结果，对奥克兰医院复苏室一年期间收治的所有患者进行了评估。在602例患者中，仅有41例（7%）为穿透性损伤。31例患者为刺伤或切割伤，7例为枪伤，3例为其他形式的穿透性损伤。总体死亡率为17%，其中包括4例刺伤中的4例死亡和7例枪伤中的3例死亡。4例致命刺伤患者中有3例在复苏室死于失血过多。需要一个能够迅速进行复苏并快速转至手术室的系统，以提高失血性损伤患者的生存率。
