ISS在中青年胸部损伤评估中的价值

Value of ISS for evaluating thoracic trauma in the middle-aged and young patients

目的评估ISS评分在预测中青年胸部损伤患者伤情、是否需要开胸治疗以及病死率、致残率中的价值。方法回顾性研究1998～2006年因胸部损伤，年龄在18～48岁的250例病例资料。根据ISS分组（〈16，16～27，〉27），分析ISS与预后的关系。结果本组ISS平均值为（15．5±9．3）分，其中ISS评分：〈16分149例（59．6％），16～27分63例（25．2％），〉27分38例（15．2％）。结论ISS分值不但是病死率、致残率的独立预测因素，还是是否开胸的独立预测因素。

Objective To evaluate the value of injury severity score（ISS） for predicting injury severity and the eventual need for thoracotomy, as well as the rate of disability and mortality of the middle-aged and young patients with thoracic trauma. Methods Between January 1998 and December 2006,data of 250 adults （from 18 to 48 years old, 223 men and 27 women） with chest injuries were reviewed. The ISS was calculated for every patient. The adults were divided into three groups according to ISS. The relationship between ISS and prognostic factors was analyzed in all three groups. Results The mean ISS was 15.5 ± 9.3 （range 1-75） , 149 patients （59.6%） had a score lower than 16,while 63 （25.2%） had a score between 17 and 27,and 38 （ 15.2% ） had a score higher than 27. The need for thoracotomy, as well as the rate of disability and mortality were significantly higher in patients with ISS 〉 27. Conclusion The ISS was found to be an independent predictor for performing thoracotomy in chest injuries patients, as well as for the rate of disability and mortality.