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1、伤害急诊调查分析与对策谢俊卿1白祥军2李树生2杨光出2郑智2摘要目的：描述伤害的流行病学特征，以及伤害在各时段的特点，寻求针对各个环节的伤害控制对策。方法：以14593例伤害急诊病例及其中1()8例死亡病例为样本，进行流行病学描述性统计。结果：1、伤害有多发性，伤害病因构成的前三位为机械伤、交通伤、跌落伤，男性伤害明显多于女性，伤害多发牛于青壮年人群。中重度损伤中，交通伤所占比率最高。伤害发生时段以秋、冬季较高。2、死亡伤因前三位为交通伤、坠落伤、锐器伤，总死亡率为0.73%。早期死亡率高。早期死因主要为：重要脏器功能衰竭、休克。结论：建议在伤
2、询伤因控制、院前现场急救、院内急救等各环节，有针对性地全程采取控制对策.关键词：伤害；控制对策TheinvestigationofinjuryandpreventionstrategyXIEJun-qing1BAIXiang-jun2LIShu-sheng2YANGGuang-tian2[ZHENGZhi?Departmentofemergency,TheTong-jiHospitalofWuHanTong-jiMedicalCollegeAbstractObjective:Themotivationofthisthesisistodescri
3、betheepidemiologicalcharacteristicofinjuryandthefeaturesofinjuryindifferentperiods.Itishopedthattheresearchwillprovidesuggestionsonhowtoimproveinjurytreatmentandnursing,andhowtobuildinjurypreventionandcurenetwork.Methods：Inthethesis,descriptivestatisticalmethodareemployed.14
4、953emergencyinjurycasesaretreatedasthefirstgroup,theirfeatures,suchasinjurycauses,age,gender,damagedorgan,andetc,arecountedandanalyzed・Amongthesecases,thefeaturesof108deathcasesareanalyzedinmoredetail.Results:1.Injuryoccursfrequentlyamongthepatients,thetopthreekindsofinjurya
5、remechanisminjuries,trafficaccidentsandfalls.Themaleismucheasiertobeinjuredthanthefemale.20-49yearsoldpeoplearesignificantlyeasiertobeinjuredthantheotheragegroups.Trafficaccidenttakesthefirstplaceinseriousinjury.Injuryrateishigherinthefallandwinterduringoneyear.2・Thetopthree
6、deathcausesaretrafficaccidents,fallsandsharparticleinjuries・Thetotalmortalityis0.73%・Amongthedeathcases,69.3%aredeadinthefirsttwodays,maincausesofearlymortalityare:seriousinjurytoimportantorgan,anduncontrolledshock.Conclusions:thisthesissuggestsawholeprocedurepreventionstrat
7、egy,measuresshouldbetakenindifferentperiod,suchascausecontrolbeforeinjury,pro-hospitalfirstaid,emergencydepartmentcareandhospitalization,Keywords:injury;preventionstrategy伤害已经成为一个令人碣Id的严垂的公共卫生问题，也是世界各国的主要死亡原因之一切。预防控制伤害是当今世界重要的研究课题，本文旨在通过调查硏究，切实掌握伤害的流行病学特征，以及伤害在各时段的特点，并望在此基础上
8、，系统地捉炼针对伤害的控制对策。1、病例样本资料调查说明(1)根据TCD-10疾病分类编码，对我院急诊科伤害病例进行详细填表登记。收集口2006年元丿
