Pamerneckas Algimantas, Pijadin Andrei, Pilipavicius Giedrius, Tamulaitis Gintaras, Toliusis Vytautas, Macas Andrius, Bilskiene Diana, Blazgys Algirdas
Clinic of Traumatology and Orthopedics, Kaunas University of Medicine, Kaunas, Lithuania.
Medicina (Kaunas). 2007;43(2):137-44.
The aim of this study was to evaluate the mechanism of high-energy blunt trauma, age and gender of patients, severity of regional and multiple injury, ventilation time, length of stay in intensive care unit and in-hospital stay, in-hospital complications, and treatment outcome.
Data on 159 patients with severe multiple injuries, meeting inclusion criteria, were collected prospectively and evaluated retrospectively.
The mean age of multiple trauma patients was 43.9+/-1.4 years; males were injured 2.5 times more often than females (P<0.001). More than half (66.7%) of patients were 17-64-year-old males. Majority (83%) of all patients were injured in motor vehicle crashes, and 52.2% of these patients were pedestrians. The mean Injury Severity Score was 29.5+/-0.8, and severe (Abbreviated Injury Scale score of 3 and more) injuries of extremities, head, and chest made up 69.1% of all injuries. The mean ventilation time, mean length of stay in intensive care unit, and mean in-hospital stay were 5.5+/-0.7, 7.0+/-0.8, and 23.6+/-1.6 days, respectively. Acute lung complications were the most common (25.2%). Systemic inflammatory response syndrome developed in 7.5% of patients, and sepsis in 3.8% of patients. More than one-fifth (20.8%) of polytrauma patients died.
Working-age male pedestrians (17-64 years old) made up two-thirds of all polytrauma patients. Severe injuries of extremities, head, and chest were present in 69.1% of all cases. Lung complications were the most common.
本研究的目的是评估高能钝性创伤的机制、患者的年龄和性别、局部及多发伤的严重程度、通气时间、重症监护病房住院时间和住院时间、院内并发症及治疗结果。
前瞻性收集符合纳入标准的159例严重多发伤患者的数据，并进行回顾性评估。
多发伤患者的平均年龄为43.9±1.4岁；男性受伤的频率是女性的2.5倍（P<0.001）。超过一半（66.7%）的患者为17至64岁的男性。所有患者中大多数（83%）因机动车碰撞受伤，其中52.2%为行人。平均损伤严重度评分为29.5±0.8，四肢、头部和胸部的重伤（简明损伤定级标准评分为3分及以上）占所有损伤的69.1%。平均通气时间、重症监护病房平均住院时间和平均住院时间分别为5.5±0.7天、7.0±0.8天和23.6±1.6天。急性肺部并发症最为常见（25.2%）。7.5%的患者发生全身炎症反应综合征，3.8%的患者发生脓毒症。超过五分之一（20.8%）的多发伤患者死亡。
工作年龄的男性行人（17至64岁）占所有多发伤患者的三分之二。所有病例中69.1%存在四肢、头部和胸部的重伤。肺部并发症最为常见。
