武警医学2024，Vol.35Issue(12)：1013-1017,1023,6.
腹部创伤后发生脓毒症的危险因素
Risk factors for sepsis after abdominal trauma
摘要
Abstract
Objective To explore the risk factors for sepsis in patients with abdominal trauma and to provide scientific basis for the clinical treatment of abdominal trauma.Methods The clinical data of 273 patients with abdominal trauma were retrospectively analyzed using the MIMIC-Ⅳ database,including the injury information at admission,severity scores,vital signs,major laboratory test results,and clinical treatment.Single-factor screening and multivariate logistic regression analysis were used to analyze the risk factors for sepsis after abdominal trauma.Results Logistic multiple regression analysis showed that surgical operation(OR=3.249,95%CI:1.525-6.918,P=0.002),mechanical ventilation(OR=4.684,95%CI:2.262-9.699,P<0.001),calcium(OR=0.610,95%CI:0.446-0.836,P=0.002),SIRS score(OR=1.993,95%CI:1.280-3.104,P=0.002),and central venous catheterization(OR=2.438,95%CI:1.068-5.561,P=0.034)were independent risk factors for sepsis after abdominal trauma.Conclusions The occur-rence of sepsis after abdominal trauma is closely related to surgical operation,mechanical ventilation,calcium,SIRS score,and central venous catheterization.In clinical practice,attention should be paid to timely evaluation of the risk of sepsis in patients with abdominal trauma,and monitoring and prevention should be implemented accordingly.关键词
腹部损伤/脓毒症/危险因素/预后/外科手术Key words
abdominal trauma/sepsis/risk factor/prognosis/surgical operation分类
医药卫生引用本文复制引用
刘昕炜,胡时栋,达布西力特,杜晓辉..腹部创伤后发生脓毒症的危险因素[J].武警医学,2024,35(12):1013-1017,1023,6.基金项目
军队某课题资助 （）
