Bain I M, Kirby R M, Cook A L, Oakley P A, Templeton J
Department of Surgery, University of Keele, Stoke-on-Trent, UK.
Br J Surg. 1996 Sep;83(9):1248-51.
A prospective audit of trauma patients seen or treated by the Department of General Surgery at the North Staffordshire Hospital Trauma Centre has been carried out, examining both the effect of a newly established trauma centre on overall workload and the outcome of patients admitted with severe injury. Trauma comprised approximately 2 per cent of the overall general surgical emergency workload. General surgeons were involved in the assessment of 25 per cent of severely injured patients but overall operated on fewer than 10 per cent of patients in this group. No patient died during the study period as a consequence of missed or inadequately treated intra-abdominal injury. These data suggest that there is insufficient work to justify specialist general surgical trauma surgeons in the UK. When general surgical intervention is required, however, it is usually vital and potentially life-saving.
对北斯塔福德郡医院创伤中心普通外科诊治的创伤患者进行了一项前瞻性审计，考察了新设立的创伤中心对整体工作量的影响以及重伤患者的治疗结果。创伤约占普通外科急诊总工作量的2%。普通外科医生参与了25%重伤患者的评估，但在该组患者中，总体手术率不到10%。在研究期间，没有患者因漏诊或治疗不当的腹腔内损伤而死亡。这些数据表明，在英国，工作量不足以证明需要专科普通外科创伤外科医生。然而，当需要普通外科干预时，通常至关重要且可能挽救生命。
