Emergency treatment of 314 cases of severe trauma

    HU Aiª²Min, GUAN Xiaoª²Hong, SHANG Yuª²Lan, ZHANG Shiª²Jie, ZHANG Zhongª²Dong

    Department of Emergency, PLA Air Force General Hospital, Beijing 100036, China

    ¡¾Abstract¡¿ AIM: To retrospectively analyze cases of severe trauma in order to provide some constructive suggestions for trauma emergency treatment in urban areas. METHODS: The retrospective analysis was conducted in 314 severe trauma cases who were admitted to the Emergency Surgical Department from August 2000 to July 2005. RESULTS: There were 236 male and 78 female patients with a mean age of 33.8 years old (range 8ª²77 years). The mean trauma score (TS) was 13.4¡À3.5, the mean Glasgow Coma Score (GCS) was 12.4¡À3.6 and the mean Injury Severity Score (ISS) was 20.1¡À11.7. There were 152 cases (48.4%) with multiple injuries and 253 cases with shock. The survival rate was 94% and the rescue success rate was 89%. Definite emergency surgery was carried out in 261 cases. The causes of trauma were traffic accident (163, 52%), fight with weapons and injuries at work sites (93, 30%) and falling (58, 18%). The mean hospitalization duration in the emergency department was (54¡À28) min for the survival cases and (121¡À48) min for the dead cases, with a very significant difference between the 2 groups (P<0.01). CONCLUSION: Traffic accident, fight with weapons and injuries at work sites and falling are the major causes of severe trauma in urban areas. Shortening the duration of staying in the emergency department and early definite emergency surgery can effectively improve the success rate. ......