创伤所致失血性休克病人的预后及相关因素

为了探讨创作所致失血性休克病人发生高死亡率和并发症的相关因素,进行一组院外或急诊室测量收缩压低于12kPa的创伤患者预测其发生死亡,器官衰竭,感染的情况。结果在103例失血性休克患者中死亡率高达55.34％,仅有44.66％患者存活≥24小时,在此之中28.07％发生感染,35.09％出现器官表竭。表明创伤患者失血性休克引起较高的死亡率和并发症。且研究结果认为大量晶体液的灌注导致死亡率增

Outcome After Hamerrhagic Shock in Trauma Patients and its Affected Factors

Hemorrhagic shock have a high risk of death and complications . It is essential to identify patients surviving opportunities. We select a group of patients in trauma who's systolic blood pressure≤12 kPa in the field or in the emergency department. We determine the rates and predictors of death、organ failure and infection in them. Among the 103patients with hamerrhagic shock(blood pressure≤12 kPa)54. 34% died,and 44. 66% survived. Among those who survived≥24 hours,28. 08% develped infected and 35. 09% developed organ failure. Increasing volume of crystalloid in the first 24 hours was strongly associated with increased mortality. Hemorrhagic -induced hypotension in trauma patients is predictive of high mortality and morbidity. The requirement for large volumes of crystalloid was assiciated with increased mortality.