多发伤伴休克预后高危因素分析

Analysis of Prognostic Risk Factors for Patients of Multiple Trauma Complicated with Shock

目的探讨影响多发伤伴休克患者预后的某些高危因素。方法回顾性分析我院中心ICU收治的40例多发伤伴休克病人临床资料,根据患者的预后分为死亡组与存活组,观察早期血糖、APACHEⅡ评分、休克持续时间等3个因素对多发伤伴休克患者预后的影响。结果死亡组早期血糖、APACHEⅡ评分、休克持续时间高于存活组(P<0.01),颅脑损伤合并多发伤患者病死率高。结论早期血糖、APACHEⅡ评分、休克持续时间均可作为判断多发伤伴休克患者预后有价值的临床指标。

Objective To explore prognostic risk factors for patients of multiple trauma complicated with shock. Methods The clinical data of 40 patients of multiple trauma complicated with shock in ICU were analyzed. They were divided into two groups, based on their prognosis, survival group and death group, blood sugar, APACHE Ⅱ score in 24 hours and duration of shock were observed. Results Blood sugar, APACHE Ⅱ score and duration of shock in the death group were higher than those in the survival significantly （P 〈 0. 01 ）. The mortality of patients with cranial injury complicated with multiple trauma was high, Conclusions Blood sugar, APACHE Ⅱ score and duration of shock might be valuable prognostic predictor for patients with multiple trauma complicated with shock.