摘要
目的：将修正创伤指数（ＲＴＩ）与损伤严重度评分（ＩＳＳ）值进行比较，探讨其规律以及严重多发伤ＩＳＳ值的界定．方法：复习１９９０～１９９３年我科救治的多发伤伤员１５６例，ＲＴＩ为１５．４６±２．８８，ＩＳＳ为２０．１３±５．６９．ＩＳＳ≥２０组段死亡率为２３．６１％，ＩＳＳ在１６～１９组段死亡率为３．５１％．对两种评分分值进行相关回归分析，两组段死亡率进行χ２检验．结果：两种评分分值之间存在中度直线相关关系（ｒ＝０．４，Ｐ＜０．０１）．两组段死亡率差别有统计学意义（χ２＝８．８１，Ｐ＜０．００５）．结论：本组多发伤伤员ＲＴＩ与ＩＳＳ之间存在着一定的对应关系．建议院前评分选用ＲＴＩ，并将严重多发伤的ＩＳＳ值界定在≥２０．
Aim: To discuss the relationship between revised trauma index (RTI) and injury severity score (ISS), and find out the definited limit of ISS to the serious multiple injuries. Methods and Results: A hundred and fifty six cases of multiple injuries treated in our department from 1990 to 1993 were reviewed. RTI was 15.46±2.88, ISS 20.13±5.69. The mortality of the multiple injuries at 16￣19 ISS group was 3.51% and 23.61% at ISS≥20 group. The linear correlation and linear regression and X 2 test were used to analyse the data. There were linear correlation and linear regression between the RTI and ISS ( r =0.4, P <0.001). The mortality showed a significant difference between the ISS at 16￣19 group and ISS≥20 group ( χ 2=8.81, P <0.005). Conclusion: There is certain relationship between RTI and ISS in this group. Although RTI is a prehospital trauma scoring, it can be used in hospital too. These findings suggest that ISS≥20 may regard as severe multiple injuries.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1997年第2期84-86,共3页
Chinese Journal of Trauma
关键词
多发伤
修正创伤指数
损伤严重度评分
Multiple injuries Revised trauma index Injury severity score
