腹部创伤死亡危险因素分析

Risk factors of mortality in severe abdominal trauma patients

目的探讨腹部创伤患者的主要死亡原因，为提高救治成功率提供依据。方法回顾性分析我院2003年1月～2007年12月收治的腹部创伤病例，分组对比死亡组与存活组在年龄、性别、受伤到急诊就诊时间、受伤主要机制、开放或闭合性损伤、受累器官数目、检查阳性率、平均出血量、院前休克例数、损伤严重程度、手术方法等方面的差异。结果与存活组患者比较，死亡组患者在交通事故受伤比例高（P〈0．001）、腹外器官损伤数多（P〈0．001）、平均出血量多（P〈0．01）、院前休克例数多（P〈0．001）、损伤严重程度高。结论受伤机制、受累器官数目、休克、损伤严重程度、手术方法的选择等都是腹部创伤死亡危险因素。

Objective To study the risk factors which influence mortality in abdominal trauma patients, so as to enhance the rescue rate. Methods A total of 718 patients who had been suffered abdominal trauma were en-rolled, to find the risk factors affecting the death rate. The data in death group and survival group were analyzed, in-cluding gender,age,injury time,injury meehanism,et al. Results There was more traffic injury（P〈0.001） ,more organs injury beside abdominal trauma（ P 〈 0. 001 ） , more shock before coming to emergency room （ P 〈 0. 001 ） , more blood loss volume （P〈0.01） , and higher in AIS and ISS in death group. Conclusion The risk factors of mortality in abdominal trauma patients inelude the injury mechanism, amount of organs injury, shock, injury level, operation way and so on.