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[复合创伤患者的损伤相互加重综合征]

[Syndrome of mutual aggravation of injuries in patients with a combined trauma].

作者信息

Sokolov V A, Kartavenko V I, Garaev D A, Svirskaia L M

出版信息

Vestn Khir Im I I Grek. 2006;165(6):25-9.

PMID:17436741
Abstract

An analysis of 1458 case histories of patients with a combined trauma has shown that 276 of the patients died, the lethality was 18.9%. The severity of each injury was estimated by the AIS scale, the severity of combined traumas--by the ISS scale. The syndrome of mutual aggravation of injuries manifested itself most brightly in the cases where one or more main injuries were dangerous for life. Of the greatest importance was an addition of the closed chest trauma to the dominating injury that resulted in a greater number of bronchial-pulmonary complications. Severe damages of the loco-motor system increased the number of thrombo- and fat embolism.

摘要

对1458例复合伤患者的病历分析表明,其中276例患者死亡,致死率为18.9%。每种损伤的严重程度通过AIS量表评估,复合伤的严重程度通过ISS量表评估。损伤相互加重综合征在一处或多处主要损伤危及生命的病例中表现最为明显。最重要的是,在主要损伤基础上合并闭合性胸部创伤会导致更多的支气管-肺部并发症。运动系统的严重损伤会增加血栓和脂肪栓塞的发生率。

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