Oestern H J
Klinik für Unfall- und Wiederherstellungschirurgie, Allgemeinen Krankenhauses Celle.
Zentralbl Chir. 1997;122(11):943-53.
For therapeutic recommendations three different kinds of scores are essential: 1. The severity scores for trauma; 2. Severity scores for mangled extremities; 3. Intensive care scores. The severity of polytrauma patients is measurable by the AIS, ISS, RTS, PTS and TRISS which is a combination of RTS, ISS, age, and mechanism of injury. For mangled extremities there are also different scores available: MESI (Mangled Extremity Syndrome Index) and MESS (Mangled Extremity Severity Score). The aim of these scores is to assist in the indication with regard to amputate or to save the extremity. These scoring indices can be used to evaluate the severity of a systemic inflammatory reaction syndrome with respect to multiple organ failure. All scores are dynamic values which are variable with improvement of therapy.
对于治疗建议而言，三种不同类型的评分至关重要：1. 创伤严重程度评分；2. 肢体毁损严重程度评分；3. 重症监护评分。多发伤患者的严重程度可通过AIS、ISS、RTS、PTS以及TRISS（它是RTS、ISS、年龄和损伤机制的组合）来衡量。对于肢体毁损，也有不同的评分：MESI（肢体毁损综合征指数）和MESS（肢体毁损严重程度评分）。这些评分的目的是辅助判断是进行截肢还是挽救肢体。这些评分指数可用于评估与多器官功能衰竭相关的全身炎症反应综合征的严重程度。所有评分都是动态值，会随着治疗的改善而变化。
