Crandon I, Carpenter R, McDonald A
Department of Surgery, University of the West Indies, Jamaica.
West Indian Med J. 1994 Dec;43(4):117-20.
Trauma accounted for 20% of all admissions to the general surgery wards of this University Hospital in a developing country. It was the most common reason for admission. This condition affects the young, males more commonly than females, and results in the need for operation in almost 40% of admitted trauma patients. Trauma surgery accounts for 17% of all operations done. Hospital stay and age are significantly greater in those requiring operation. The head, chest and abdomen are, in order of frequency, the most commonly affected areas of the body, and injury is mainly the result of interpersonal violence (52%), accidental injuries including burns (20%), and road traffic accidents (20%). In-patient mortality was 4.5%, significantly higher in older patients and mainly in those with head injuries and burns. Scarce resources and resource misallocation mandate preventive measures to minimize the human and economic waste.
在一个发展中国家的这家大学医院，创伤占普通外科病房所有入院病例的20%。这是入院的最常见原因。这种情况影响年轻人，男性比女性更常见，并且几乎40%的创伤入院患者需要手术。创伤手术占所有手术的17%。需要手术的患者住院时间和年龄明显更长。按发生频率排序，头部、胸部和腹部是身体最常受影响的部位，损伤主要是人际暴力（52%）、包括烧伤在内的意外伤害（20%）以及道路交通事故（20%）造成的。住院死亡率为4.5%，老年患者死亡率明显更高，主要是头部受伤和烧伤患者。资源稀缺和资源分配不当要求采取预防措施，以尽量减少人力和经济浪费。
