创伤后多器官功能衰竭危险因素预测性比较  

Predictive comparison of multiple organ failure risk factors in posttrauma

作　　者：田利华[1] 廖忆刘[1] 

机构地区：[1]同济医科大学附属同济医院创伤外科,湖北武汉430030

出　　处：《创伤外科杂志》2001年第1期4-6,共3页Journal of Traumatic Surgery

摘　　要：目的　研究及预测创伤后多器官功能衰竭的危险因素 ,以探讨其预测模式。方法　随机抽样选取创伤后存活时间 >48小时以上的严重创伤病人 5 78例 ,其中 44例发生MOF。采用AIS ISS、APS APACHE及BD等相关指标对伤员的组织损伤、生理参数、伤前状况、临床因素进行分析对比。结果　MOF所表现出的早期和后期性的双峰现象与损伤程度、休克、感染、高龄以及伤前有无慢性疾病等因素有关 ,且提示应用量化指标可增加其预测性。结论　单变量指标多难以提高MOF预测性 。Objective To investigate predictive power of developing MOF risk factors in trauma patients.Methods The clinical date of 578 trauma patients surviving>48 hours after injury were studied,among them 44 cases developed MOF.The data of the cases were analyzed and contrasted by indicators of AIS ISS,APS APACHE Ⅲ and BD in tissue injury,physiologic parameters,preexisting health conditions and clinic factors.Results The bimodal phenomenon in early MOF versus late MOF were related to factors of severity,shock,infection,venerable age and comorbid diseases,and it showed that the predictive power was added with measuring indicators.Conclusion The posttrauma MOF was difficult to be predicted by a single variable indicator.The predictive model should be built in the constitution of causing MOF.

关 键 词：创伤 多器官功能衰竭 危险因素 预测性比较 

分 类 号：R641[医药卫生—外科学] R59[医药卫生—临床医学]