ICU收治严重创伤57例临床分析

目的对入住ICU的严重创伤患者的创伤原因、部位、预后等进行研究。方法对2002年3月～2004年10月ICU收治的57例严重创伤患者进行回顾性分析研究。结果57例患者中车祸32例,占56.14%,为首位创伤原因,其次为坠落伤。创伤类型以骨折多见,其次为颅脑外伤。死亡组血钾、白细胞、血肌酐、APACHEⅡ评分高于存活组,平均动脉压、血小板计数、哥拉斯哥评分低于存活组。结论车祸是创伤的主要原因,常见的损伤部位为骨骼和颅脑损伤,APACHEⅡ评分对评估患者的预后有一定指导意义,患者的常见死亡原因为休克、颅脑损伤、弥散性血管内凝血和急性肾功能衰竭。

Clinical study of the patients with severe trauma in ICU

Objective To investigate the traumatic causes,sites,prognosis of patients with severe trauma in ICU.Methods From Match 2002 to October 2004,the medical records of 57 cases in ICU had been reviewed retrospectively.Results The first cause of trauma is traffic accidentsbyabout 56.14%,the second was downfall.Serum potassium,white blood cell count,serum creatinine,APACHE Ⅱin the death group were higher than those in the survival significantly;mean arterial pressure,blood platelet count,Glasgow coma score (GCS) in the death group were lower than those in the survival significantly.Conclusions The first cause of trauma is traffic accident,the main traumatic sites were skeleton and brain.APACHE Ⅱ is helpful to estimate prognosis,the main cause of death are shock,brain injury,DIC and acute renal failure.