| 多发伤患者预后因素分析 |
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| 引用本文： | 郑胜永,何先弟,汪华学,吴强,赵飞,赵士兵,刘成.多发伤患者预后因素分析[J].蚌埠医学院学报,2010,35(9):903-904. |
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| 作者姓名： | 郑胜永 何先弟 汪华学 吴强 赵飞 赵士兵 刘成 |
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| 作者单位： | 蚌埠医学院第一附属医院ICU, 安徽蚌埠 233004 |
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| 摘 要： | 目的:总结影响多发伤患者病死率的因素。方法:分析住ICU113例多发伤患者的临床资料,并予统计学分析。结果:113例中存活80例,病死33例,病死率29.2%,多器官功能障碍综合征(MODS)43例,发生率38.1%,其中病死25例,病死率58.1%;存活组与死亡组相比较,住ICU时间、SIRS评分、大量输血(复苏时)、急性生理学与慢性健康状况Ⅱ(APACHEⅡ)评分、MODS、休克差异均有统计学意义。结论:多发伤病死率高,住ICU时间、APACHEⅡ评分、全身炎症反应综合征评分、MODS、休克、大量输血是其影响因素。积极干预可以减少病死率。
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| 关 键 词： | 创伤 多器官功能障碍综合征 病死率 预后因素 |
| 收稿时间： | 2010-01-08 |
Analysis of prognostic factors for multiple trauma |
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| ZHENG Sheng-yong,HE Xian-di,WANG Hua-xue,Wu Qiang,ZHAO Fei,ZHAO Shi-bing,LIU Cheng.Analysis of prognostic factors for multiple trauma[J].Journal of Bengbu Medical College,2010,35(9):903-904. |
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| Authors: | ZHENG Sheng-yong HE Xian-di WANG Hua-xue Wu Qiang ZHAO Fei ZHAO Shi-bing LIU Cheng |
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| Institution: | Intensive Care Unit, The First Affiliated Hospital of Bengbu Medical College, Bengbu Anhui 233004, China |
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| Abstract: | Objective:To investigate the mortality and prognostic factors of multiple trauma patients.Methods:The clinical data of all 113 patients with multiple trauma admitted to our ICU were retrospectively analyzed.Results:Eighty of 113 multiple trauma patients survived,while 33 of them died.The mortality of all was 29.2%.The morbidity of multiple organ dysfunction syndrome(MODS) among all 113 patients was 38.1%,and the mortality was 58.1%.Compared with survived and died groups,There were statistical differences ab... |
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| Keywords: | trauma multiple organ dysfunction syndrome mortality prognostic factors |
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