穿透性心脏损伤的预后预测因素。

Predictors of outcome in penetrating cardiac injuries.

作者信息

Topal Askiin Ender, Celik Yusuf, Eren Mehmet Nesimi

机构信息

Department of Cardiovascular Surgery, Dicle University Medicine Faculty, Diyarbakir, Turkey.

出版信息

J Trauma. 2010 Sep;69(3):574-8. doi: 10.1097/TA.0b013e3181bc783a.

DOI:10.1097/TA.0b013e3181bc783a

PMID:20068477

Abstract

BACKGROUND

Cardiac injury is one of the most lethal injuries. The objective of this study was to determine the real amount of risk factors for penetrating cardiac injuries.

METHOD

A retrospective review of 64 consecutive penetrating cardiac injuries treated in reference center of the biggest regional hospital from September 2002 to January 2009.

RESULTS

There were 58 men (90.6%) and 6 women (9.4%), with a mean age of 26.19 years ± 11.68 years (range, 13-67 years). The mechanism of injury was stab wound for 57 patients and gunshot wound for the remainder. Mortality was 17.19% (11 of 64 patients). The forward stepwise multivariate logistic regression analysis of the results revealed four risk variables-two were measures of patients, age and pH, and the others were scoring systems, Trauma Injury Severity Scores and Acute Physiology and Chronic Health Evaluation II. The odds ratios and confidence interval of four variables are followed as 6.665 (4.213-10.544), 3.435 (2.171-5.433), 2.715 (1.716-4.295), and 2.201 (1.391-3.481), respectively.

CONCLUSION

Our data have shown the real amount of risk variables for mortality in penetrating cardiac injuries by using binary logistic model.

摘要

背景

心脏损伤是最致命的损伤之一。本研究的目的是确定穿透性心脏损伤的实际风险因素数量。

方法

对2002年9月至2009年1月在最大地区医院的参考中心接受治疗的64例连续性穿透性心脏损伤病例进行回顾性研究。

结果

男性58例（90.6%），女性6例（9.4%），平均年龄26.19岁±11.68岁（范围13 - 67岁）。损伤机制为刺伤57例，其余为枪伤。死亡率为17.19%（64例患者中的11例）。对结果进行向前逐步多因素逻辑回归分析显示有四个风险变量——两个是患者相关指标，年龄和pH值，另外两个是评分系统，创伤损伤严重程度评分和急性生理与慢性健康状况评价II。四个变量的比值比和置信区间分别如下：6.665（4.213 - 10.544）、3.435（2.171 - 5.433）、2.715（1.716 - 4.295）和2.201（1.391 - 3.481）。