创伤患者腹部损伤的发生率、模式及预测死亡率的因素
Incidence, patterns, and factors predicting mortality of abdominal injuries in trauma patients.
作者信息
Gad Mohammad A, Saber Aly, Farrag Shereif, Shams Mohamed E, Ellabban Goda M
机构信息
Department of Surgery, Suez Canal University, Ismailia, Egypt.
出版信息
N Am J Med Sci. 2012 Mar;4(3):129-34. doi: 10.4103/1947-2714.93889.
BACKGROUND
Abdominal trauma is a major public health problem for all nations and all socioeconomic strata.
AIM
This study was designed to determine the incidence and patterns of abdominal injuries in trauma patients.
MATERIALS AND METHODS
We classified and identified the incidence and subtype of abdominal injuries and associated trauma, and identified variables related to morbidity and mortality.
RESULTS
Abdominal trauma was present in 248 of 300 cases; 172 patients with blunt abdominal trauma and 76 with penetrating. The most frequent type of abdominal trauma was blunt trauma; its most common cause was motor vehicle accident. Among patients with penetrating abdominal trauma, the most common cause was stabbing. Most abdominal trauma patients presented with other injuries, especially patients with blunt abdominal trauma. Mortality was higher among penetrating abdominal trauma patients.
CONCLUSIONS
Type of abdominal trauma, associated injuries, and Revised Trauma Score are independent risk factors for mortality in abdominal trauma patients.
背景
腹部创伤是所有国家和所有社会经济阶层面临的一个主要公共卫生问题。
目的
本研究旨在确定创伤患者腹部损伤的发生率和模式。
材料与方法
我们对腹部损伤及相关创伤的发生率和亚型进行分类和识别，并确定与发病率和死亡率相关的变量。
结果
300例病例中有248例存在腹部创伤；172例为钝性腹部创伤，76例为穿透性创伤。腹部创伤最常见的类型是钝性创伤；其最常见的原因是机动车事故。在穿透性腹部创伤患者中，最常见的原因是刺伤。大多数腹部创伤患者还伴有其他损伤，尤其是钝性腹部创伤患者。穿透性腹部创伤患者的死亡率更高。
结论
腹部创伤类型、相关损伤和修订创伤评分是腹部创伤患者死亡率的独立危险因素。
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