创伤性出血性休克病人的预后分析
姚元章;程晓斌;周健;黄显凯
【期刊名称】《重庆医学》 【年(卷),期】2001(030)003
【摘要】目的通过确定创伤性出血性休克(HTS)病人发生死亡和并发症的高危因素，为减轻创伤后再灌注损伤的进一步治疗提供参考。方法检查并分析在创伤重症监护室(ICU)和急诊部(ED)内HTS病人(BP≤12kPa)，确定死亡率、感染和器官功能障碍(OD)的发生率和与此有关的预测指标。结果 143例HTS病人28％在入院后2h内死亡，10％病人死于2～24h，6％病人在24h后死亡；56％生存。在生存≥24h病人中有47％发生感染和24％发生OD；最初24h内复苏时增加晶体液输入与死亡率升高有关(P＜0.01)。结论创伤病人失血导致的低血压可能预示伤员有高死亡率和并发症发生率；复苏中大量输入晶体液与高死亡率有关。%Objective To identify patients at high risk of death and complications for future studies of interventions to decrease reperfusion injury. Methods We determine and analyze the rates and predictors of death, organ dysfunction, and infecion in patients with hemorrhagic-traumatic shock( 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≥ 24 hours, 47% developed infection and 24 % developed organ dysfunction. Increasing volume of crystalloid in
创伤性出血性休克病人的预后分析
