中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2015年
4期
272-275
,共4页
老年人%创伤%病死率%死亡危险因素
老年人%創傷%病死率%死亡危險因素
노년인%창상%병사솔%사망위험인소
aged%trauma%mortality%risk factors of death
目的：总结老年重症创伤的临床特征，分析死亡危险因素。方法回顾性地分析2010年1月至2014年10月张家港市第一人民医院重症监护室（ICU）收治的130例老年创伤患者和120例青中年创伤患者的致伤原因、伤情、救治及转归。结果老年创伤组急性生理与慢性健康评分（APACHE Ⅱ）为（19.71±12.48）分，合并基础疾病率39.2%，住ICU的时间为（6.17±5.97）d，机械通气率56.2%，多器官功能不全综合征（MODS）发生率36.9%，肺部感染发生率22.3%，病死率34.6%，均高于青中年创伤组（P＜0.05）。结论老年创伤患者病死率高于中青年患者，APACHE Ⅱ评分、较多的基础疾病和MODS的发生是其独立危险因素。
目的：總結老年重癥創傷的臨床特徵，分析死亡危險因素。方法迴顧性地分析2010年1月至2014年10月張傢港市第一人民醫院重癥鑑護室（ICU）收治的130例老年創傷患者和120例青中年創傷患者的緻傷原因、傷情、救治及轉歸。結果老年創傷組急性生理與慢性健康評分（APACHE Ⅱ）為（19.71±12.48）分，閤併基礎疾病率39.2%，住ICU的時間為（6.17±5.97）d，機械通氣率56.2%，多器官功能不全綜閤徵（MODS）髮生率36.9%，肺部感染髮生率22.3%，病死率34.6%，均高于青中年創傷組（P＜0.05）。結論老年創傷患者病死率高于中青年患者，APACHE Ⅱ評分、較多的基礎疾病和MODS的髮生是其獨立危險因素。
목적：총결노년중증창상적림상특정，분석사망위험인소。방법회고성지분석2010년1월지2014년10월장가항시제일인민의원중증감호실（ICU）수치적130례노년창상환자화120례청중년창상환자적치상원인、상정、구치급전귀。결과노년창상조급성생리여만성건강평분（APACHE Ⅱ）위（19.71±12.48）분，합병기출질병솔39.2%，주ICU적시간위（6.17±5.97）d，궤계통기솔56.2%，다기관공능불전종합정（MODS）발생솔36.9%，폐부감염발생솔22.3%，병사솔34.6%，균고우청중년창상조（P＜0.05）。결론노년창상환자병사솔고우중청년환자，APACHE Ⅱ평분、교다적기출질병화MODS적발생시기독립위험인소。
Objective To investigate the clinical features of severe trauma in the elderly and analyze the risk factors for death. Methods Clinical data of 130 elderly traumatic patients and 120 young and middle-aged traumatic patients admitted in Intensive Care Unit (ICU) of our hospital from January 2010 to October 2014 were collected and retrospectively analyzed. The cause, traumatic condition, treatment and prognosis were analyzed and compared between the 2 groups. Results In the elderly trauma group, the scores of acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) was 19.71±12.48, 39.2% of them had comobidities, their mean length of ICU stay was (6.17±5.97)d, the rate of mechanical ventilation was 56.2%, the incidence of multiple organ dysfunction syndrome (MODS) and pneumonia were 36.9% and 22.3%, respectively, and the mortality was 34.6%. All these values were significantly higher than those in the young and middle-aged group (P<0.05). Conclusion The mortality is higher in elderly than in young and middle-aged traumatic patients. The APACHE Ⅱ score, more comobidities and occurrence of MODS are the independent risk factors for death.
