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題 名 | Firearm Injuries in Southern Taiwan: A Single Hospital's Experience=南臺灣地區槍擊事件之概況: 單一醫院之研究 |
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作 者 | 莊佳璋; 蔡明哲; 王新臺; 陳文超; 吳明和; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 9:1 1998.03[民87.03] |
頁 次 | 頁15-20 |
分類號 | 416.14 |
關鍵詞 | 槍傷; 修正創傷指數; 穿通性創傷; Gunshot wounds; Revised trauma score; Penetrating trauma; |
語 文 | 英文(English) |
中文摘要 | 背景:臺灣這幾年來似乎成了槍擊事件頻傳的地區。為了瞭解臺灣檢擊事件的發生率及其相關武器使用之種類,我們以臺南成功大學醫學院附屬醫院的急診部所處理過的槍擊事件作進一步的回顧分析。研究方法及材料:我們統計自民國78年5月至民國86年4月間至本院急診室求診病志中,與槍擊事件有關的病例加以統計研究。利用「修正之創傷指數(Revised Trauma score)」及「外傷嚴重度指數(Injury Se-verity Score)」作為槍擊病思至急診室時,其外傷嚴重程度之評估,而以「創傷及外傷嚴重指數(Trauma and Injury Severity Score)」作為傷息之存活預期指數。本研究所使用之統計係以視窗軟體SPSS作為資料相關性之分析及p值之有無顯著差異。結果:我們共收錄到122位病患(男性117人,女性5人),其年齡層的分布自4歲至68歲之間,平均年齡為31.4歲(±9.9歲)。其中,約百分之八十五的槍擊事件是屬於蓄意性質,包括遭他人攻擊及自殺;手槍是此穿通性創傷中最常使用的武器。四肢仍是槍擊傷害中最常見的部位,但以頭頸部及胸部中彈有較高的致死率。同時,頭頸部及胸部中彈患者其創傷指數亦呈現有意義的偏低(Mann-Whitney Statistics, p<0.001)。此外,我們的案例死亡率(case-fatality ratio)為1:16,遠較其他國家(如歐美)槍擊死亡率低。結論:我們建議本島性槍擊傷害的「創傷登錄系統(Trauma Registry)」應儘早建立,如此方能瞭解臺灣各地區的槍擊概況;此外,建立此系統後,我們可以儘早評估這些槍擊傷患的情形並期改善這些受槍擊者的預後。 |
英文摘要 | Firearm injuries in Taiwan have become more common in recent years. To determine the incidence of firearm injuries and the types of firearms involved, we conducted a hospital-based study of gunshot wounds (GSWs) treated in the emergency department of National Cheng Kung University Hospital. MATERIALS and METHODS: This retrospective obtained data from the medical records of firearm-related injuries treated at our hospital between May 1989 to April 1997. The severity of firearm injury was coded utilizing RTS (Revised Trauma Score) and ISS (Injury Severity Score). TRISS (Trauma and Injury Severity Score) method was adopted to predict patient survivability. All the data were analyzed by SPSS using Mann-Whitney statistics. RESULTS: One hundred and twenty two subjects (117 men, 5 women) with a mean age of 31.4±9.9 years (range: 4-68 years) were enrolled in our study. Intentional incidents, including assault and suicide, accounted for 85% of the injuries. Handguns were the leading causes of penetrating trauma in this series. The extremity was the major site of firearm injury (48%), however, the head and chest wounds were associated with the highest mortality and had significantly lower RTS (Mann-Whitney statistics, p<0.001) on arrival. The case-fatality ratio (CFR) for firearm injury was 1:16 (non-survivor: survivor), which was lower than other countries. CONCLUSION: We suggest that an island-wide Trauma Registry should be established as soon as possible. With this Trauma Registry, the incidences of firearm injuries across Taiwan could be tracked. In addition treatment methods and outcomes could be evaluated and improvements made. |
本系統中英文摘要資訊取自各篇刊載內容。