| 影响腹部创伤患者损害控制手术后生存率的相关因素分析 |
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| 引用本文： | 薛绪潮,申晓军,王尧,张旭魁. 影响腹部创伤患者损害控制手术后生存率的相关因素分析[J]. 创伤外科杂志, 2009, 11(1): 12-14 |
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| 作者姓名： | 薛绪潮 申晓军 王尧 张旭魁 |
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| 作者单位： | 第二军医大学长海医院普外科,上海,200433;第二军医大学长海医院普外科,上海,200433;第二军医大学长海医院普外科,上海,200433;第二军医大学长海医院普外科,上海,200433 |
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| 摘 要： | 目的探讨影响实施损害控制手术（DCS）腹部创伤患者生存率的相关因素。方法回顾性分析27例实施DCS患者的临床资料，比较存活组和死亡组病人的术前一般情况、ISS、手术方式、治疗情况及各种围手术期生命体征、器官功能变化情况，最后采用多因素Logistic回归分析影响患者生存率的相关预后因素。结果影响DCS患者术后生存率的因素包括年龄、ISS、术前体温和碱剩余（BE）值、估计失血量、ICU入室体温以及住院时间（P〈0．05）；其中，年龄增长、术前BE绝对值增加和ICU入室体温降低是预测DCS术后患者生存率的独立预后因素（P〈0．05）。结论DCS有助于提高严重腹部创伤患者术后生存率，年龄增长、术前BE绝对值增加和ICU人室体温降低是影响生存率的独立预后因素。
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| 关 键 词： | 腹部损伤 损害控制 生存率 |
Predictors of survival rates in 27 severe abdominal trauma patients after damage control surgery |
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| XUE Xu-chao,SHEN Xiao-jun,WANG Yao,et al.. Predictors of survival rates in 27 severe abdominal trauma patients after damage control surgery[J]. Journal of Traumatic Surgery, 2009, 11(1): 12-14 |
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| Authors: | XUE Xu-chao SHEN Xiao-jun WANG Yao et al. |
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| Affiliation: | Department of General Surgery;Changhai Hospital;Second Military Medical University;Shanghai200433;China |
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| Abstract: | ObjectiveTo investigate the efficacy of dmage control surgery(DCS) and predictors of survival rates in 27 severe abdominal trauma patients.MethodsFrom May 1998 to February 2007,27 patients with severe multiple trauma were managed by DCS.All the patients were divided into two groups: survivors group(15 cases) and death group(12 cases).All of the demographic,physiologic and medical parameters were collected and compared between two groups.Multiple logistic regression analysis was performed to identify possibl... |
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| Keywords: | abdominal injury damage control survival rates |
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