创伤性休克230例诊治分析

Analysis of diagnosis and treatment of 230 patients with traumatic shock

目的 探讨进一步提高创伤性休克的诊治水平。方法 回顾性总结1999年1月～2004年12月我院急诊科230例严重创伤病人，对患者年龄，创伤严重程度评分，伤后就诊时间，是否手术，输液输血量等因素进行统计分析。结果 230例严重创伤病人中抢救成功率为71．3％，创伤病死率为28．7％。结论 严重创伤、重度休克、长时间低血压、非正确休克复苏是影响休克治疗效果的主要因素。早期实施确定性抢救手术，可以有效地提高创伤性休克的救治效果。

Objective To improve the level of diagnosis and treatment to the traumatic shock. Methods 230 cases of patients with severe traumatic shock treated in our department between Jan. 1999 and Dec. 2004 were analyzed retrospectively, and their age, injury severity scale, time to hospital after injury, operation, blood pressure and fluid resuscitation volume etc were analyzed by binary logistic regression to show the relationship between the factors and the outcome. Results The rescue success rate was 71.3 % （ 164 cases ）, and traumatic mortality was 28.7% （66 cases）. Conclusion Severe trauma and shock, hypotension and incorrect resuscitation manipulation are the main factors affecting the result of resuscitation and treatment of traumatic shock, early definite rescue surgery can effectively improve the result of severe trauma therapy.