摘要
1954年1月至1991年12月,348例交通事故所致胸外伤在我科接受治疗,其中219例为多发性损伤。住院死亡8例,死亡率2.6%。运用创伤严重度评分法(ISS)与半数致死量(LD_(50))分析多发性损伤严重程度与死亡的关系,讨论了交通事故所致胸外伤的临床特点与诊治中值得注意的问题,并强调:(1)缩短交通事故致多发性损伤病人入院至有效抢救治疗的时间是降低死亡率的关键,(2)ISS与LD_(50)是回顾性研究损伤严重度与死亡率关系的有用工具,但仍需更多的研究,进一步改善ISS和LD_(50)与死亡的相关性。
From January 1954 to December 1991, 348 cases of chest trauma caused by traffic accident were treated, with multiple injury in 219 cases. There were 8 deaths and the mortality was 2.6%. Injury Severity Score (ISS) and a lethal dose for 50% of the patients (LD_(50)) were used to analyse the correlation between total injury severity and mortality. The clinical characteristics and some problems in diagnosis and treatment of these patients were discussed. The authors stressed that (1) to shorten the time elapsed from admission to the efficient freatment started was the key of decreasing mortality, (2) ISS and LD_(50) were useful tools in retrospective study of the correlation between injury severity and mortality, But further researches were needed.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1993年第2期94-96,127-128,共3页
Chinese Journal of Trauma
