严重多发性创伤患者162例临床特点及转归分析.docVIP

严重多发性创伤患者162例临床特点及转归分析 　　[摘要] 目的 观察严重多发性创伤患者的临床特点和转归情况，探讨急救治疗措施。 方法 回顾性分析浙江省宁波市第六医院于2010年3月～2013月3月收治的162例严重多发性外伤患者的临床资料。根据患者预后情况分为死亡组与生存组，比较两组患者的性别、年龄、发病-就诊时间、致伤因素、受伤部位、损伤严重度评分（ISS）、是否急诊手术的差异。结果 162例患者中，77.2%为交通事故所致，75.3%合并失血性休克，12.3%患者死亡。死亡组与生存组间性别、年龄、致伤因素、受伤部位及是否行急诊手术的差异无统计学意义（P 0.05），而死亡组发病-就诊时间和ISS分值[（2.3±0.7）h、（42.9±11.5）分]均显著高于生存组[（0.8±0.3）h、（21.8±5.6）分]，差异有高度统计学意义（P 0.01）。 结论 严重多发性创伤患者病死率较高，ISS分值与发病-就诊时间是影响患者预后的重要因素。 　　[关键词] 多发性创伤；损伤严重度评分；临床特征；预后 　　[中图分类号] R641 [文献标识码] C [文章编号] 1673-7210（2013）11（a）-0158-03 　　Analysis of the clinical characteristics and outcome of 162 patients with severe multiple trauma 　　HUANG Yangneng GU Xingsheng WANG Kan CHEN Hong 　　Department of Emergency， the Sixth Hospital of Ningbo City， Zhejiang Province， Ningbo 315040， China 　　[Abstract] Objective To observe the clinical characteristics and outcome of patients with severe multiple trauma and discuss the emergency treatment measures. Methods The clinical data of 162 patients with severe multiple trauma in the Sixth Hospita of Ningbo City from March 2010 to March 2013 were retrospective analyzed. Patients were divided into death group and survival group according to the prognosis， and the sex， age， time of onset to treatment， injury factors， site of injury， injury severity score （ISS） and whether accepted emergency operation of two groups were compared. Results 77.2% patients of 162 cases were caused by traffic accident， 75.3% patients were complicated with hemorrhagic shock， and 12.3% patients were died. The sex， age， time of onset to treatment， injury factors， site of injury， and whether accepted emergency operation between the two groups had no significant difference （P 0.05）， but the time of onset to treatment and ISS in the death group [（2.3±0.7） h， （42.9±11.5） scores] were significantly higher than those in the survival group [（0.8±0.3） h， （21.8±5.6） scores]， the differences were statistically significant （P 0.01）. Conclusion Patients with severe multiple trauma