摘要
目的 确定创伤性失血性休克 (HTS)病人死亡和并发症发生的高危因素。方法 分析在创伤ICU和急诊部 (ED)内HTS病人 ,确定病死率、感染、器官功能障碍 (OD)的发生率和与此有关的预测指标。结果 143例HTS病人 2 8%在入院后 2h内死亡 ,10 %死于 2～ 2 4h ,6 %在 2 4h后死亡 ;5 6 %生存。生存≥ 2 4h病人 47%发生感染和 2 4%发生OD ;最初 2 4h内复苏时增加晶体液输入 ,病死率升高。结论 创伤失血致低血压可能预示伤员有高病死率和并发症发生率 ;大量输入晶体液与高病死率有关。
Objective To identify high risk of death and complications in patients with traumatic hemorrhagic shock(HTS).Methods We determined and analyzed the rates and predictors of death,organ dysfunction(OD),and infection in patients with HTS(systolic blood pressure≤12kPa)in the intensive care unit or the emergency department(ED). Results Among the 143 patients with HTS,28% died within 2 hours after admission,10% died between 2 and 24 hours ,6% died after 24 hours,and 56% survived.Among those who survived more than 24 hours,47% developed infection and 24% developed OD.Increasing volume of crystalloid in the first 24 hours was strongly associated with increased mortality .Conclusion Hemorrhage-induced hypotension in traumatic patients may be predictive of high mortality and morbidity of complications.The requirement for large volumes of crystalloid is associated with increased mortality.
出处
《中国实用外科杂志》
CSCD
北大核心
2000年第7期409-410,共2页
Chinese Journal of Practical Surgery
