中华实验外科杂志
中華實驗外科雜誌
중화실험외과잡지
CHINESE JOURNAL OF EXPERIMENTAL SURGERY
2015年
6期
1461-1463
,共3页
腹部损伤%骨折%骨盆
腹部損傷%骨摺%骨盆
복부손상%골절%골분
Abdominal injuries%Fractures%Pelvic bones
目的 分析骨盆骨折患者的疾病进展过程,评价骨盆骨折合并腹部实质性脏器损伤的危险因素.方法 将436例骨盆骨折患者分为非实质性脏器损伤组和实质性脏器损伤组,比较两组临床特征、创伤严重程度评分(ISS)、治疗方法和结果.结果 实质性脏器损伤患者在所有骨盆骨折患者中占18.3％ (80/436);高处坠落致实质性脏器损伤患者有较高的坠落高度(P＜0.05);实质性脏器损伤组的初次血压显著降低(P＜0.01)、ISS评分显著升高(P ＜0.05);ISS评分增高[比值比(OR) =2.137,P＜0.05)和在急诊科即发生休克(OR=3.024,P＜0.05)是合并实质性脏器损伤的危险因素.结论 对于骨盆骨折患者,了解其外伤类型、坠空高度、评价ISS、是否合并休克有助于在第一时间判断这类患者是否合并腹部实质性脏器损伤.
目的 分析骨盆骨摺患者的疾病進展過程,評價骨盆骨摺閤併腹部實質性髒器損傷的危險因素.方法 將436例骨盆骨摺患者分為非實質性髒器損傷組和實質性髒器損傷組,比較兩組臨床特徵、創傷嚴重程度評分(ISS)、治療方法和結果.結果 實質性髒器損傷患者在所有骨盆骨摺患者中佔18.3％ (80/436);高處墜落緻實質性髒器損傷患者有較高的墜落高度(P＜0.05);實質性髒器損傷組的初次血壓顯著降低(P＜0.01)、ISS評分顯著升高(P ＜0.05);ISS評分增高[比值比(OR) =2.137,P＜0.05)和在急診科即髮生休剋(OR=3.024,P＜0.05)是閤併實質性髒器損傷的危險因素.結論 對于骨盆骨摺患者,瞭解其外傷類型、墜空高度、評價ISS、是否閤併休剋有助于在第一時間判斷這類患者是否閤併腹部實質性髒器損傷.
목적 분석골분골절환자적질병진전과정,평개골분골절합병복부실질성장기손상적위험인소.방법 장436례골분골절환자분위비실질성장기손상조화실질성장기손상조,비교량조림상특정、창상엄중정도평분(ISS)、치료방법화결과.결과 실질성장기손상환자재소유골분골절환자중점18.3％ (80/436);고처추락치실질성장기손상환자유교고적추락고도(P＜0.05);실질성장기손상조적초차혈압현저강저(P＜0.01)、ISS평분현저승고(P ＜0.05);ISS평분증고[비치비(OR) =2.137,P＜0.05)화재급진과즉발생휴극(OR=3.024,P＜0.05)시합병실질성장기손상적위험인소.결론 대우골분골절환자,료해기외상류형、추공고도、평개ISS、시부합병휴극유조우재제일시간판단저류환자시부합병복부실질성장기손상.
Objective To evaluate the risk factors of pelvic bone fractures concurrent abdominal solid organ injuries by analyzing the clinical progression of the patients with pelvic bone fractures.Methods The clinical data of 436 patients with pelvic bone fractures were retrieved.Subjects were categorized based on injury types:solid organ versus non-solid organ.The types of injuries,clinical manifestations,treatments,injury severity scores (ISS) and clinical outcomes in the two groups were compared.Results There were 80 patients (18.3％) subjected to solid organ injury.Fall from height occurred at greater distances (P ＜ 0.05) in patients that sustained solid organ injuries.The initial blood pressure was lower (P ＜ 0.05) and the ISS were significantly higher (P ＜ 0.01) in solid organ injury group.Shock diagnosed immediately upon emergency department arrival (OR ratio =3.024,P ＜ 0.05) and the increased ISS [odds ratio(OR) =2.137,P ＜ 0.05] were the risk factors for intra-abdominal solid organ injuries in trauma patients with pelvic bone fractures.Conclusion For the patients with traumatic pelvic fracture,it will be helpful to judge whether the patient has concurrent abdominal solid organ injuries by investigating the types of injuries,falling height,ISS and initial blood pressure as soon as possible.
