创伤伤害严重程度的定量评估  

Quantitative Evaluation of Trauma Severity

作　　者：周卫红[1] 周继红[2] 

机构地区：[1]四川省凉山州中西医结合医院,西昌615000 [2]第三军医大学大坪医院野战外科研究所交通医学研究所,重庆400042

出　　处：《伤害医学（电子版）》2013年第2期44-48,共5页Injury Medicine(Electronic Edition)

基　　金：卫生部卫生公益性行业科研专项资助项目(201002014);全军十二五重点项目(BWS12J033)

摘　　要：目前我国总体上将创伤的严重程度分为轻微伤、轻伤、重伤和危重伤.通常对创伤严重程度的评估主要还是定性描述性的,由于评估者采用的判定方法不同、评估者的经验和掌握尺度差异,都会导致评估结果明显的差异.采用创伤评分的方法可使创伤严重程度的评估定量化和标准化.在创伤伤害严重程度的评估时,采用简明损伤定级评分(abbreviated injury scale,AIS)、损伤严重度评分(injury severity score,ISS)、新的损伤严重度评分(new injury severity score,NISS)、创伤严重程度评分(trauma and injury severity score,TRISS)、创伤严重程度特征评分(a severity characterization of trauma,ASCOT)和功能独立评分(functional independence measure,FIM)可科学、方便地对创伤的组织损伤程度、多发伤的严重程度、结局情况等进行定量评判.文章对创伤严重程度的划分标准和几种创伤评分方法做了介绍.At present ,severity of the trauma is categorized into minor injury,slight injury,severe injury,and eritieally severe injury,In general practice,trauma severity evaluation is described qualitatively;inconsisitence often exist between individual evaluations because of different evaluating methods,experence of evaluators ,and subjective understanding in evaluating terms,Therefore ,scoring trauma by quantitatively asssessing the trauma severity characterization of trauma score(ASCOT)and functional independence measure(FIM)are commonly accepted methods that are able to evaluate the degree of tissue damage,severity of multiple injuries and the trauma outcome,This paper presents introduced these methods and the classification of trauma severity.

关 键 词：创伤 伤害严重程度 定量评估 创伤评分 

分 类 号：R641[医药卫生—外科学]