目的 分析我院急诊胸部创伤患者流行病学特点,为提高创伤急救水平与预防提供客观依据.方法 采用回顾性资料收集方法,对2009年1月～2011年9月在我院急诊科就诊的268例首诊胸部创伤患者就其年龄分布、致伤原因、受伤时间等进行统计分析.结果 急诊胸部创伤患者以青壮年为主,男性多于女性.每天12:00～23:59为当日就诊高峰.创伤原因以交通事故最多见,占55.60％.肺挫伤、气胸、血胸、血气胸及肋骨骨折是胸部创伤主要的临床表现.结论 本研究揭示了急诊外科胸部创伤患者就诊分布特点,为急诊外科工作重点和发展方向提供了依据.%Objective To analyze the epidemiological characteristics of emergency patients with chest trauma in our hospital, in order to provide objective basis for the improvement of trauma emergency level and trauma prevention. Methods The retrospective data collection method was used. The age distribution, causes of trauma, time of trauma and other conditions of 268 patients first diagnosed with chest trauma in the emergency department of our hospital from January 2009 to September 2011 were analyzed statistically. Results Patients with emergency thoracic trauma were mainly young adults, males were more than females. 17:00 to 23:59 was the peak time of treatment every day. Traffic accident was the most common cause of trauma, accounted for 55.60%. Pulmonary contusion, pneumothorax, hemothorax, hemopneumothorax and rib fracture were the major clinical manifestations of thoracic trauma. Conclusion This study reveals the treatment distribution characteristics of emergency surgical patients with chest trauma and provide basis for the key emphasis of work and development direction of emergency surgery.
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