影响多发伤患者的负面因素。
Negative Factors Influencing Multiple-Trauma Patients.
作者信息
Anghele Mihaela, Marina Virginia, Anghele Aurelian-Dumitrache, Moscu Cosmina-Alina, Dragomir Liliana
机构信息
Clinical-Medical Department, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 47 Str. Domnească, 800201 Galati, Romania.
Medical Department of Occupational Health, Faculty of Medicine and Pharmacy, "Dunărea de Jos" University, 47 Str. Domnească, 800201 Galati, Romania.
出版信息
Clin Pract. 2024 Aug 13;14(4):1562-1570. doi: 10.3390/clinpract14040126.
BACKGROUND AND OBJECTIVES
This study aimed to assess the impact and predicted outcomes of patients with multiple trauma by identifying the prevalence of trauma sustained and associated complications.
MATERIALS AND METHODS
This retrospective cohort study focused on individual characteristics of patients with multiple trauma admitted to our County Emergency Hospital. The final table centralized the characteristics of 352 subjects aged between 3 and 93 years who presented with multiple trauma from 2015 to 2021. Inclusion criteria for this study were the presence of multiple trauma, intervention times, mentioned subjects' ages, and types of multiple trauma.
RESULTS
Patients with multiple trauma face an increased risk of mortality due to the underlying pathophysiological response. Factors that can influence the outcomes of multiple-trauma patients include the severity of the initial injury, the number of injuries sustained, and the location of injuries.
CONCLUSION
The first 60 min after trauma, known as the "golden hour," is crucial in determining patient outcomes. Injuries to the head, neck, and spine are particularly serious and can result in life-threatening complications.
背景与目的
本研究旨在通过确定创伤发生率及相关并发症来评估多发伤患者的影响及预测结果。
材料与方法
这项回顾性队列研究聚焦于我院县急救医院收治的多发伤患者的个体特征。最终表格汇总了2015年至2021年间352名年龄在3岁至93岁之间的多发伤患者的特征。本研究的纳入标准为多发伤的存在、干预次数、提及的受试者年龄以及多发伤类型。
结果
由于潜在的病理生理反应，多发伤患者面临更高的死亡风险。影响多发伤患者预后的因素包括初始损伤的严重程度、受伤数量以及损伤部位。
结论
创伤后的前60分钟，即所谓的“黄金一小时”，对确定患者预后至关重要。头部、颈部和脊柱损伤尤为严重，可导致危及生命的并发症。
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