中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2014年
7期
702-705
,共4页
林曦%高劲谋%都定元%胡平%刘朝普%黄光斌
林晞%高勁謀%都定元%鬍平%劉朝普%黃光斌
림희%고경모%도정원%호평%류조보%황광빈
创伤和损伤%损伤严重度评分%老年人
創傷和損傷%損傷嚴重度評分%老年人
창상화손상%손상엄중도평분%노년인
Wounds and injuries%Injury severity score%Aged
目的 探讨AIS-ISS对老年创伤患者伤情、预后的评价效果及其意义. 方法 对2009年10月-2012年9月收治的住院时间>24 h的2 599例创伤患者资料进行回顾性分析,其中597例≥60岁创伤患者纳入老年组,2 002例<60岁创伤患者纳入非老年组.比较两组致伤因素、ISS、伤后并发症发生情况、死亡率、急诊手术及ICU治疗情况. 结果 (1)两组损伤机制相似,均分别以交通伤、跌倒/坠落伤为前两位因素.(2)老年组、非老年组ISS评分分别为(10.7±7.8)分、(10.4±8.3)分(t =0.653,P>0.05).(3)老年组主要并发症发生率高于非老年组(P<0.01),以肺部感染及肺不张(4.36%)、休克(4.19%)、尿路感染(3.52%)为前三位因素.(4)老年组急诊手术率低于非老年组(30.57%)(P<0.01),ICU治疗率(75.71%)高于非老年组(36.26%)(P<0.05),死亡率(3.85%)高于非老年组(2.25%)(P<0.05). 结论 用AIS-ISS评估老年创伤患者严重度和预后时应谨慎.即使AIS-ISS分值较低的老年患者也应进行更全面的治疗.
目的 探討AIS-ISS對老年創傷患者傷情、預後的評價效果及其意義. 方法 對2009年10月-2012年9月收治的住院時間>24 h的2 599例創傷患者資料進行迴顧性分析,其中597例≥60歲創傷患者納入老年組,2 002例<60歲創傷患者納入非老年組.比較兩組緻傷因素、ISS、傷後併髮癥髮生情況、死亡率、急診手術及ICU治療情況. 結果 (1)兩組損傷機製相似,均分彆以交通傷、跌倒/墜落傷為前兩位因素.(2)老年組、非老年組ISS評分分彆為(10.7±7.8)分、(10.4±8.3)分(t =0.653,P>0.05).(3)老年組主要併髮癥髮生率高于非老年組(P<0.01),以肺部感染及肺不張(4.36%)、休剋(4.19%)、尿路感染(3.52%)為前三位因素.(4)老年組急診手術率低于非老年組(30.57%)(P<0.01),ICU治療率(75.71%)高于非老年組(36.26%)(P<0.05),死亡率(3.85%)高于非老年組(2.25%)(P<0.05). 結論 用AIS-ISS評估老年創傷患者嚴重度和預後時應謹慎.即使AIS-ISS分值較低的老年患者也應進行更全麵的治療.
목적 탐토AIS-ISS대노년창상환자상정、예후적평개효과급기의의. 방법 대2009년10월-2012년9월수치적주원시간>24 h적2 599례창상환자자료진행회고성분석,기중597례≥60세창상환자납입노년조,2 002례<60세창상환자납입비노년조.비교량조치상인소、ISS、상후병발증발생정황、사망솔、급진수술급ICU치료정황. 결과 (1)량조손상궤제상사,균분별이교통상、질도/추락상위전량위인소.(2)노년조、비노년조ISS평분분별위(10.7±7.8)분、(10.4±8.3)분(t =0.653,P>0.05).(3)노년조주요병발증발생솔고우비노년조(P<0.01),이폐부감염급폐불장(4.36%)、휴극(4.19%)、뇨로감염(3.52%)위전삼위인소.(4)노년조급진수술솔저우비노년조(30.57%)(P<0.01),ICU치료솔(75.71%)고우비노년조(36.26%)(P<0.05),사망솔(3.85%)고우비노년조(2.25%)(P<0.05). 결론 용AIS-ISS평고노년창상환자엄중도화예후시응근신.즉사AIS-ISS분치교저적노년환자야응진행경전면적치료.
Objective To investigate the effect and significance of AIS-ISS in assessing injury severity and prognosis of aged trauma patients.Methods A retrospective study was done on data of 2 599 patients hospitalized over 24 hours from October 2009 to September 2012.There were 597 patients aged 60 years or over (aged group) and 2 002 patients aged below 60 years (non-aged group).Injury causes,ISS,complication incidence,emergency operation rate,and ICU treatment were compared between the two groups.Results Similar in causes of injury,the two groups were mainly injured from traffic accidents and falls on the ground or from height.ISS was (10.7 ± 7.8) points in aged group and (10.4 ± 8.3) points in non-aged group,with no significant difference (t =0.653,P > 0.05).Incidence of major complications was higher in aged group than in non-aged group (P < 0.01).Top three complications were pulmonary infection or atelectasis (4.36%),shock (4.19%),and urinary infection (3.52%).Lower emergency operation rate (21.44% vs 30.57%,P < 0.01),higher ICU treatment (75.71% vs 36.26%,P < 0.05),and higher mortality (3.85 % vs 2.25%,P < 0.05) were observed in aged group when compared to non-aged group.Conclusions AIS-ISS should be carefully selected to evaluate injury severity and prognosis of the aged trauma patients.Early total care should be performed for the aged trauma patients even if AIS-ISS is relatively low.