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[250例多发伤患者入住外科重症监护病房的短期和长期预后]

[Short- and long-term outcome of 250 patients admitted in surgical intensive care units after multiple injuries].

作者信息

Gaillard M, Pasquier C, Guerrini P, Margenet A, Leroux V, Herve C

机构信息

Département d'anesthésie-réanimation I, Centre hospitalier et universitaire Henri Mondor, Créteil.

出版信息

Agressologie. 1990;31(9):633-6.

PMID:2096718
Abstract

Two hundred and fifty polytrauma patients (mean age: 30 years) had been hospitalizated in the same trauma center, along a period of two years. Hospital mortality rate was 33% (11% in the first day). The mean I.S.S. of alive patients was 25, and 35 for dead patients. Long term survey was analysed by three questionnaires (before one year, between one and two years and after two years). Answer rate was about 80%. Sixty hundred p. cent of patients worked less than one year after multiple trauma, and 80% between one and two years; 75% noted that their family life was normal less than one year after injury; 80% presented sequelae two years after; they were subjective in 60% of cases. These sequelae did not interfere with family life or work. There was no parallelism between objective sequelae and duration of work stop in one side and gravity of lesions (I.S.S.) in other side.

摘要

在两年时间里,250名多发伤患者(平均年龄:30岁)被收治于同一创伤中心。医院死亡率为33%(首日死亡率为11%)。存活患者的平均损伤严重度评分(I.S.S.)为25,死亡患者为35。通过三份问卷对长期情况进行了分析(伤后一年前、伤后一至两年以及伤后两年后)。回复率约为80%。60%的患者在多发伤后工作不到一年,80%在伤后一至两年工作;75%的患者表示受伤后不到一年家庭生活正常;80%的患者在伤后两年出现后遗症;其中60%的情况为主观感受。这些后遗症并未干扰家庭生活或工作。客观后遗症及停工时长与另一侧损伤严重程度(I.S.S.)之间不存在相关性。

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