流行病学
时间:2017-09-03 22:38来源:未知 作者:Mr.Editor
Epidemiology of major trauma (DGU 2007)，www.traumaregister.de Mean age = 41.5 yo M : F[%] = 70 : 30 Blunt : penetr [%] = 95 : 5 Mechanism [%] Vehicular car 29.4 m-bike 13.6 bycicle 7.4 pedestrian 7.7 Fall 3m 14.7 Fall 3m 11.7 Suicide 5.0
Epidemiology of major trauma (DGU 2007)，www.traumaregister.de
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Mean age |
= 41.5 yo |
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M : F [%] |
= 70 : 30 |
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Blunt : penetr [%] |
= 95 : 5 |
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Mechanism [%] |
Vehicular |
car |
29.4 |
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m-bike |
13.6 |
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bycicle |
7.4 |
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pedestrian |
7.7 |
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Fall >3m |
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14.7 |
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Fall <3m |
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11.7 |
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Suicide |
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5.0 |
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Crime |
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2.5 |
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Volume resuscitation [%] |
90.6 |
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Intubation [%] |
51 |
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Primary diagnosis c whole-body CT |
48 |
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In-hosp mortality |
12 |
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Distribution of injuries in major trauma (DGU 2007)：ISS > 16
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Head & neck |
57 % |
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Chest |
59 % |
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Pelvis and extremities |
39 % |
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Abdomen |
21 % |
www.traumaregister.de
Errors contributing to trauma mortality
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16% |
Delayed operative/interventional control of acute abdominal or pelvic hemorrhage
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16% |
Failure to successfully intubate, secure or protect airways
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9% |
Delayed intervention for intrathoracic hemorrhage |
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9% |
Inadequate DVT or GI ulcer prophylaxis |
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8% |
Lengthy intial OR rather than damage-control surgery
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Gruen RL et al,Annals of Surgery, 2006
Incidence of vascular injuries
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Neck |
in 20 % of penetr. injuries very rare in blunt injuries
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Thoracic aorta |
blunt, abrupt deceleration |
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65% just distal of scl. |
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10% in arch |
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12% descending |
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13% multiple |
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Subclavian/axillary |
rare, penetrat.> blunt |
锁骨下动脉夹层
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