深圳市腹部外伤住院病例流行病学分析

目的研究深圳市经济快速发展中由创伤引起的生命和健康损害以及社会经济损失的严重公共卫生问题，寻求解决办法。方法对全市50多家医疗卫生单位1994—2003年共10年间腹部外伤住院病人2368例进行总结分析。结果腹部外伤在创伤流行病学调查中比例：本研究抽取创伤患者住院病历55241份有效表格，其中腹部外伤病例2368份，占4．3％。腹部外伤造成腹腔脏器损伤者2302例（72．2％），腹部闭合性损伤1935例（81．7％），常见腹部脏器损伤为：脾脏（973例，41．1％），肝脏（786例，33．2％）居多。创伤危险因素：男性居多（1791例，75．63％），年龄20～40岁居多（占64．17％）。外伤发生地点：普通公路（占32．31％）、公共场所（占27．70％）、工地（占13．34％）居多。创伤原因车祸居多（736例，31．1％）。结论深圳市腹部外伤在创伤中所占比例虽然较低，但多为腹腔内实质脏器（肝脾）损伤，救治不及时可出现严重的后果，应该对腹部外伤予以足够的重视。

Epidemiological analysis of abdominal trauma in Shenzhen city-a 10 years review

Objective As a city's economy develops quickly, a lot of public problems arise. This study was aimed to evaluate the severity of abdominal trauma on the hazard of public health, human life and social economics in Shenzhen. Methods The datd of hospitalized patients of trauma in 50 hospitals during Jan.1994～Dec.2003 were collected and sampling surveyed. The abdominal trauma were ana-lyzed epidemiologically. Results The abdominal trauma accounted for 2368 cases(4.3%) in totally 55421 cases of trauma samples.Abdominal viscera injury organs were spleen(973cases,41.1%) and liver (786 cases,33.2%). The risk factors exposed were male(75.63%) and 20～40 years(64.17%).The trauma happened mostly on highway (32.31%), public locations(27.70%) and construction sites(13.34%). The most common cause of abdominal trauma was road accident (31.1%). Conclusions Although the abdominal trauma compromises relatively low proportion of the total trauma in Shenzhen city, the injury mostly concerns solid viscera, such as spleen and liver, and a delayed salvage process may result in severe problems. More attention should be paid to trauma of abdomen.