简明损伤定级/损伤严重度评分的研究进展与误用解析  

Research progress and error analysis of abbreviated injury scale injury severity score

作　　者：李阳 张连阳 Li Yang;Zhang Lianyang(Division of Trauma and War Injury,Daping Hospital,Army Medical University,State Key Laboratory of Trauma,Burns and Combined Injuries,Chongqing 400042,China)

机构地区：[1]陆军军医大学大坪医院战创伤医学中心,创伤、烧伤与复合伤国家重点实验室,重庆400042

出　　处：《中华创伤杂志》2021年第1期11-14,共4页Chinese Journal of Trauma

摘　　要：创伤评分、创伤登记和创伤数据库建设是创伤中心质量改进的基石。简明损伤定级(AIS)/损伤严重度评分(ISS)自2008年起被各国用作创伤中心评审的依据,现已发展为全球公认的创伤评分系统。笔者介绍自1971年以来发布的9个版本AIS中代码数量和分值设定的变化,以及近年来AIS/ISS评分体系的应用效果,并结合临床多发伤患者,分析AIS/ISS目前在临床应用中存在的错误。我国创伤登记和数据库建设的重点不是提出新的创伤评分,而应是先正确、准确地应用AIS/ISS。Trauma score,trauma registry and construction of trauma database are the cornerstones for the quality improvement of trauma centers.Abbreviated injury scale(AIS)/injury severity score(ISS)has been used as the basis for evaluation of trauma centers in lots of countries since 2008,and has now developed into a globally recognized trauma scoring system.The authors introduce the changes in the number of codes and the setting of scores in the nine versions of AIS released since 1971,as well as the application effects of the AIS/ISS scoring system in recent years.Combined with the actual clinical cases,the errors in the current clinical application of AIS/ISS are analyzed.The construction of trauma registry and database in China has just started.The current focus is not to propose new trauma scores,but to correctly and accurately apply AIS/ISS scores first.

关 键 词：多处创伤 简略损伤量表 损伤严重度评分 

分 类 号：R641[医药卫生—外科学]