| 刘长峰,张竝,俞勇,陈云,金冶,潘蕾.伴钝性腹部创伤的多发伤患者死亡危险因素分析[J].浙江中西医结合杂志,2015,25(1): |
| 伴钝性腹部创伤的多发伤患者死亡危险因素分析 |
| Risk factors analysis of mortality in multiple trauma patients with blunt abdominal injuryLIU Chang-feng , ZHANG Bing , YU Yong. Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou 310012, China. |
| 投稿时间：2014-07-18 修订日期：2014-09-16 |
| DOI： |
| 中文关键词: 钝性腹部创伤 预后 独立风险因素 |
| 英文关键词:Blunt abdominal trauma Prognosis Independent risk factors |
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| 中文摘要: |
| 目的 探讨伴有钝性腹部创伤的多发伤患者死亡相关高危因素。 方法 回顾性分析了156例伴有腹腔内器官或组织损伤的多发伤患者的临床资料,对存活组和死亡组可能与死亡相关的风险因素进行单因素分析,其中有统计学意义的因素再进行logistic多因素回归分析。 结果 单因素分析结果显示,院前时间、休克、手术处理、损伤严重度评分、结肠损伤、肝损伤、胰腺损伤、肠系膜损伤、腹腔脏器联合伤为患者死亡相关因素,年龄、性别、腹膜炎体征、胃损伤、十二指肠损伤、小肠损伤、肝外胆道损伤、脾损伤、肾挫伤、网膜损伤为患者死亡非相关因素；多因素分析显示：休克、损伤严重度评分、结肠损伤是钝性腹部创伤患者死亡的独立风险因素,同时,肝损伤、结肠损伤是导致休克的独立风险因素。 结论 钝性腹部创伤患者的死亡是多因素相互作用的结果。其中休克、损伤严重度评分、结肠损伤是钝性腹部创伤患者死亡的独立风险因素。同时,肝损伤、结肠损伤是导致休克的独立风险因素。 |
| 英文摘要: |
| Objective To explore the risk factors which influence mortality in multiple trauma patients with blunt abdominal injury . Methods The data of 156 multiple trauma patients with blunt abdominal injury were retrospectively reviewed. All the patients were divided into two groups: the survivors group and the death group, and predictors for mortality were assessed in univariate analysis models, as to those factors in significance statistically, multivariate analysis was conducted. Results The univariate determinants of mortality were the pre-hospital time, shock, surgical treatment, injury severity score(ISS), colon injury, liver injury, pancreas injury, mesenteric injury, multi-abdominal organs injury. Age, sex, peritonitis, stomach injury, duodenum injury, small intestine injury, biliary tract injury, spleen injury, renal contusion, omentum injury did not predict increased mortality. Independent risk factors of mortality included shock, ISS, colon injury. In addition, in multivariate analysis, liver injury, colon injury were identified as independent prognostic factors for shock. Conclusion The death of patients with blunt abdominal trauma might be caused by multiple factors. Independent risk factors of mortality included shock, ISS, colon injury. In addition, liver injury, colon injury were identified as independent prognostic factors for shock. |
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