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急诊创伤中心进行的三年期袭击病例

Three-Year Assault Cases Performed on the Emergency Trauma Center.

作者信息

Sanlier Melih Yucel, Al Behcet, Celebi Volkan, Solakoglu Gorkem Alper, Torun Eltaf, Aciksari Kurtulus, Cumhur Bilgehan Ahmet, Sanlier Nafiye

机构信息

Istanbul Medeniyet University Faculty of Medicine, Department of Emergency, İstanbul, Türkiye.

Serik State Hospital, Clinic of Emergency Service, Antalya, Türkiye.

出版信息

Medeni Med J. 2024 Dec 27;39(4):293-301. doi: 10.4274/MMJ.galenos.2024.61426.

Abstract

OBJECTIVE

This study aims to compare the results of cases with a history of assault presented to our emergency department over a period of three years with literature data and to share our experiences with colleagues.

METHODS

Demographic characteristics, trauma findings, clinical conditions, surgical interventions, mortality, and outcomes of patients with a history of assault to the emergency department between 2020 and 2022 were retrospectively examined. The results were analyzed using the Number Cruncher Statistical System 2007 Statistical Software package program (Utah, USA).

RESULTS

A total of 2900 patients, including 1850 males (63.79%) and 1050 females (36.21%), with an average age of 35.53±12.46 years, were included in the study. Most admissions (31.28%) occurred during the summer months and outside working hours. Males inflicted all injuries. The most common injuries occurred in the head-neck region (63.31%) and upper extremities (47.97%) in both sexes. Facial injuries were significantly more common in males (p=<0.05), whereas spinal and pelvic injuries were common in females (p<0.05). Tenderness, edema, hematoma, abrasion, ecchymosis, and soft tissue laceration were the most frequently observed findings. Female patients were more likely to be discharged home (p=0.0001), whereas male patients had a higher hospitalization rate (p=0.0001). Life-threatening ailments were discovered in 23 patients (0.79%). Surgical intervention was performed in 50 patients (1.72%). No patient experienced fatal outcomes.

CONCLUSIONS

All assaults were committed by males. Males are more frequently and severely assaulted than females. The victims were mainly from young people, and assaults predominantly occurred during the summer months and outside working hours. Head-neck and extremity injuries were the most common. There were no fatal outcomes. Nine of the 10 patients were discharged to home from the emergency department.

摘要

目的

本研究旨在将我院急诊科在三年时间里收治的有攻击伤史的病例结果与文献数据进行比较,并与同行分享我们的经验。

方法

回顾性分析2020年至2022年期间因攻击伤史到急诊科就诊患者的人口统计学特征、创伤表现、临床状况、手术干预、死亡率及预后情况。结果采用美国犹他州的Number Cruncher Statistical System 2007统计软件包程序进行分析。

结果

本研究共纳入2900例患者,其中男性1850例(63.79%),女性1050例(36.21%),平均年龄35.53±12.46岁。多数入院情况(31.28%)发生在夏季及非工作时间。所有伤害均由男性造成。男女最常见的损伤均发生在头颈部(63.31%)和上肢(47.97%)。面部损伤在男性中明显更常见(p<0.05),而脊柱和骨盆损伤在女性中更常见(p<0.05)。压痛、水肿、血肿、擦伤、瘀斑和软组织撕裂是最常观察到的表现。女性患者更有可能出院回家(p=0.0001),而男性患者的住院率更高(p=0.0001)。发现23例患者(0.79%)有危及生命的疾病。50例患者(1.72%)接受了手术干预。无患者出现致命结局。

结论

所有攻击行为均由男性实施。男性比女性更频繁、更严重地受到攻击。受害者主要是年轻人,攻击行为主要发生在夏季及非工作时间。头颈部和四肢损伤最为常见。无致命结局。10例患者中有9例从急诊科出院回家。

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本文引用的文献

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Emergency Department During Long Public Holidays.长假期间的急诊科
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Depression and violence: a Swedish population study.抑郁症与暴力行为:一项瑞典人群研究。
Lancet Psychiatry. 2015 Mar;2(3):224-32. doi: 10.1016/S2215-0366(14)00128-X.
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Intimate partner violence: prevalence, health consequences, and intervention.亲密伴侣暴力:流行率、健康后果和干预。
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