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目的分析苏州盛泽地区的胸部创伤的流行病学特点。方法采用流行病学方法描述性,回顾性分析2010年4月至2014年8月江苏盛泽医院胸外科收治的615例胸部创伤患者的临床资料。结果胸部创伤患者中男性占79.7%,40~59岁是胸部创伤的高发年龄段。职业分布中,工人是胸部创伤的主体(54.1%),3、4、10月是胸部创伤高发月份,10~11点、14~15点以及21~22点是全天的3个受伤高峰时段。急诊入院患者占75.0%,创伤原因前三位为跌伤(39.2%)、道路交通伤(30.2%)和坠落伤(14.0%)。闭合性创伤占92.0%,肋骨骨折发生率为84.1%,第6肋骨折发生率最高。肺挫伤高发于右侧肺,右肺下叶挫伤比例最高,占42.4%。结论苏州盛泽地区的胸部创伤高发人群是中壮年工人,跌伤、道路交通伤和坠落伤是主要原因,肋骨骨折和肺挫伤是常见创伤类型。
Objective To analyze the epidemiological characteristics of chest trauma in Shengze, Suzhou. Methods The epidemiological method was used to describe the clinical data of 615 cases of chest trauma admitted from April 2010 to August 2014 in Shengze Hospital of Jiangsu Province. Results Male patients with chest trauma accounted for 79.7%, 40 to 59 years old is the high incidence of chest trauma. Occupational distribution, the mainstay of chest trauma workers (54.1%), 3, 4, October is the high incidence of chest trauma months, 10 to 11 points, 14 to 15 points and 21 to 22 points are the three injured peak hours . The number of emergency admission patients was 75.0%. The top three traumatic causes were falls (39.2%), road traffic injuries (30.2%) and falling injuries (14.0%). Closure trauma accounted for 92.0%, the incidence of rib fractures was 84.1%, the highest incidence of fractures of the first 6 ribs. High incidence of pulmonary contusion in the right lung, lower right lung contusion, the highest proportion, accounting for 42.4%. Conclusions The high incidence of thoracic trauma in Shengze district of Suzhou is the main reason for falls, road traffic injuries and falling injuries. Rib fractures and pulmonary contusion are common traumatic types.