重庆医学2001，Vol.30Issue(3)：198-199,2.
创伤性出血性休克病人的预后分析
Analysis of outcome in patients with hemorrhagic-traumatic shock
姚元章 1程晓斌 1周健 1黄显凯1
作者信息
- 1. 第三军医大学大坪医院野战外科研究所创伤中心
- 折叠
摘要
Abstract
Objective To identify patients at high risk of death and complications for future studies of interventions to decrease reperfusion injury. Methods We determine and analyze the rates and predictors of death, organ dysfunction, and infecion in patients with hemorrhagic-traumatic shock( systolic blood pressure≤12kpa ) in the intensive care unit or the emergency department (ED). Results Among the 143 patients with HTS,28% died within 2 hours after admission, 10% died between 2 and 24 hours, 6%died after 24 hours, and 56 % survived. Among those who survived≥ 24 hours, 47% developed infection and 24 % developed organ dysfunction. Increasing volume of crystalloid in the first 24 hours was strongly associated with increased mortality(P＜0.01). Conclusion Hemorrhage-induced hypotension in trauma patients may be predictive of high mortality and morbidity of complications. The requirement for large volumes of crystalloid was associated with increased mortality.关键词
创伤与损伤/出血性休克/器官功能障碍/危险因素分类
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姚元章,程晓斌,周健,黄显凯..创伤性出血性休克病人的预后分析[J].重庆医学,2001,30(3):198-199,2.
