多发伤患者预后因素分析

Analysis of prognostic factors for multiple trauma

目的:总结影响多发伤患者病死率的因素。方法:分析住ICU113例多发伤患者的临床资料,并予统计学分析。结果:113例中存活80例,病死33例,病死率29.2%,多器官功能障碍综合征(MODS)43例,发生率38.1%,其中病死25例,病死率58.1%;存活组与死亡组相比较,住ICU时间、SIRS评分、大量输血(复苏时)、急性生理学与慢性健康状况Ⅱ(APACHEⅡ)评分、MODS、休克差异均有统计学意义。结论:多发伤病死率高,住ICU时间、APACHEⅡ评分、全身炎症反应综合征评分、MODS、休克、大量输血是其影响因素。积极干预可以减少病死率。

Objective：To investigate the mortality and prognostic factors of multiple trauma patients.Methods：The clinical data of all 113 patients with multiple trauma admitted to our ICU were retrospectively analyzed.Results：Eighty of 113 multiple trauma patients survived,while 33 of them died.The mortality of all was 29.2%.The morbidity of multiple organ dysfunction syndrome（MODS） among all 113 patients was 38.1%,and the mortality was 58.1%.Compared with survived and died groups,There were statistical differences about hospitalization days,SIRS score,amount of blood transfused during resuscitation,APACHE II score,MODS and shock.Conclusions：The mortality of multiple trauma is very high,the prognostic factors that affected the mortality are hospitalization days,APACHEⅡ score,MODS,shock,SIRS score and amount of blood transfusion.Protection against the prognostic factors can reduce the mortality.