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目的探讨高处坠落伤的临床特点和急诊救治中应注意的问题。方法选取7年来高处坠落伤急诊救治资料19例。结果死亡7例,12例存活。结论高处坠落伤病情受坠落高度、地面硬度、着陆位置等影响,生命风险大,死亡率高,积极了解致伤因素,确立抢救第一、边诊断边治疗、主动实施损伤控制性手术(DCO)策略、减少漏诊与并发症是高处坠落伤在急诊救治中应注意的问题。
Objective To investigate the clinical characteristics of falling injury in high altitude and the problems to be noted in the emergency treatment. Methods Select the emergency rescue data of fall injury in 7 years from 19 cases. Results of death in 7 cases, 12 cases survived. Conclusion The falling injury in height is affected by falling height, ground hardness and landing position. The risk of life is high and the mortality rate is high. Actively understand the factors of injury, establish the first rescue, treat the injured side and take the initiative to implement the controlled operation of injury DCO) strategy to reduce the missed diagnosis and complications is a fall injury in emergency treatment should pay attention to the problem.