Trauma in Traffic Accidents: Features of Injury and Principles for Management / 中华创伤杂志

ABSTRACT

During the last 4.5 year period, 1, 164 patients with traffic injuries were treated in our hospital. accountingfor 37.5% of the traumatic patients. There were 758 males and 406 females, aged 7 to 89. Of them pedestrians accounted for 70. 4%. There were 389 eases with polytrauma in this series. In the patients with thoracic or abdominal injures, operative rates were 2.5% and 67%, respectively. There were 363 cases whose ISS were over 16. The maximum ISS were 66 in the survivors. Overall mortality was 9.7% with a mean ISS of 35.5. Most deaths occurred in head injuries, The study indicated that the number of pedestrian injury was larger and the injuries were more severe in our conntry than abroad, the pedestrians were often impacted hy buses or trucks and might get injured three times (impact, fall on the ground, crushed by wheels). The authors discussed the clinical features and treatment of injuries of various sites. It is emphasized that traumatology professionalizm is important for saving patients with traffic injuries.