多发创伤后急性呼吸功能不全的危险因素分析  

Analysis of acute respiratory dysfunction as a risk factor of multiple injuries

作　　者：郝江[1] 雷鸣[1] 张音[1] 翁奇[1] 杨明浩[1] 乌盛平[1] 

机构地区：[1]成都军区昆明总医院,昆明650032

出　　处：《中国危重病急救医学》2004年第4期229-231,共3页Chinese Critical Care Medicine

基　　金：成都军区医药卫生科研计划课题 (99A0 0 4)

摘　　要：目的　探讨多发创伤与急性呼吸功能不全 (ARD)的关系。方法　回顾性分析了 6年来收治的110例多发创伤患者的临床资料 ,以 ARD为因变量、与其可能相关的 11项因素为自变量进行统计学分析 ,以确定 ARD的高危因素。结果　多变量及单变量分析显示 ,全身炎症反应综合征 (SIRS)、肺挫伤、呼吸系统并存病〔如慢性阻塞性肺疾病 (COPD)、肺炎〕、中等量以上血气胸、休克时间 >12 h、年龄≥ 5 5岁、创伤严重程度等级评分 (ISS)≥ 2 4分是 ARD的高危因素。结论　多发创伤后具有以上高危因素的患者应加强监测治疗 ,以减少 ARD和多器官功能障碍综合征 (MODS)的发生。ObjectiveTo study the relationship between multiple injuries and acute respiratory dysfunction(ARD) . MethodsOne hundred and ten patients with multiple injuries admitted during the last 6 years were retrospectively analyzed. With ARD as the dependent variable and other 11 factors as independent variables,all analysis was done statistically on computer to identify the complication of ARD as a risk factor. ResultsMultivariable and single argument analysis showed systemic inflammatory response syndrome (SIRS),pulmonary contusion,coexisting lung disease as chronic obstructive pulmonary disease(COPD) and pneumonia,moderate hemothorax and pneumothorax,duration of shock over 12 hours,age over 55 years,injury severity score(ISS)>24 were high risk factors. ConclusionPatients with multiple injuries with high risk factors should be kept under closer observation in order to prevent ARD and multiple organ dysfunction syndrome(MODS).

关 键 词：多发创伤 多器官功能不全 高危因素 

分 类 号：R641[医药卫生—外科学] R563.8[医药卫生—临床医学]