[Analysis of emergency treatment in 4519 patients with multiple injuries].
OBJECTIVE
To investigate the clinical manifestations, treatment, complications, and prognosis of patients with multiple injuries.


METHODS
The clinical data, including the causes of injury, treatment, complications, causes of death, and mortality rate, of 4519 patients were retrospectively analyzed.


RESULTS
The major causes of injury were road traffic injury (2410 cases, 53.33%), violence injury (747 cases, 16.53%), and high falling injury (575 cases, 12.72%). The main involved positions included head (2247 cases, 18.71%), abdominal region and pelvis (2118 cases, 17.64%), and thoracic region (1853 cases, 15.43%). The major complications were shock (1497 cases, 33.13%). The main cause of death was sepsis with multiple organ dysfunction syndrome/failure (28 cases, 82.35%) after multiple injuries, significant higher than other causes in the same period (P<0.01).


CONCLUSIONS
The multiple injuries have various causes of disease, and were complicated with their diverse clinical manifestations, numerous complications, and high mortalities. Further research on the integrated rescue mortality is required.
Yang
Fan
F
Department of Traumatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China. yf_tjh@163.com
Bai
Xiang-jun
XJ
Tang
Zhao-hui
ZH
Li
Zhan-fei
ZF
Liu
Kai-jun
KJ
Song
Xian-zhou
XZ
D004632:Emergency Medical Services; D006801:Humans; D009104:Multiple Trauma / Q000401:mortality / Q000628:therapy*; D012189:Retrospective Studies