目的:总结急性创伤住院患者的流行病学特征,为创伤的预防和救治提供科学依据。方法收集2008、2009、2011、2012年广西医科大学第四附属医院收治的急性创伤住院患者的临床资料,并将其录入中华创伤数据库V3.0软件中,对患者性别、年龄、受伤时间、受伤部位、受伤严重程度、结局和死亡等作分析。结果资料相对完整的急性创伤患者共4096例,其中男性占72.05%,女性占27.95%,中、青年患者占69.68%。1 a当中,创伤住院患者例数最多者为1月,而6月例数最少。1 d当中,9:00~13:00创伤发生例数最多,3:00~7:00创伤发生例数最少。35.91%的患者为多发伤,其次为下肢损伤和颅脑损伤。交通伤和跌倒/坠落伤为主要致伤原因(占77.64%)。交通伤和跌倒/坠落伤是创伤住院患者的主要致死原因(占89.43%)。结论本地区创伤住院患者流行病学特征是中青年男性多见,每年的1月伤者比例最高,危重伤者比例较高,交通伤与跌倒/坠落伤为主要致伤原因。
Objective To summarize epidemiological characteristics of acute trauma hospitalized patients for providing the scientific basis to prevention and treatment of trauma .Method Collected the clinical data of acute trauma hospitalized patients in the Fourth Affiliated Hospital of Guangxi Medical University during the year of 2008 to 2012 .All data were re-corded by the trauma database V3.0 software and analyzed on factors of gender , age, injury time, injury area, severity, outcome and death .Results There were 4 096 acute trauma patients with relatively intact information .72 .05%of them were male, young and middle-aged patients occupied 69.68%.During one year, the top trauma hospitalization happened in January and October , whereas June occurred the least hospitalization .During one day , the maximum cases of trauma happened between 9 to 13 oclock and the time from 3 to 7 am occupied the least incidence .35.91%of patients got multi-ple injuries, lower extremity injury and craniocerebral injury stayed on the second place .Traffic trauma and fall/falling in-jury had been considered as the leading causes of injury (77.64%).Additionally, traffic trauma and falling injury were al-so the main causes of death (89.43%).Conclusions The epidemiological characteristics of hospitalized patients with trauma in this region is that it happens mostly in young and middle-aged men , meanwhile the highest proportion of injury occurs in January for every year , the severe injury also has a higher percentage traffic injury and fall /falling injury are con-sidered as the causes .