AISISS法在评估多发伤病情及预后中的作用
创伤严重度评分,,创伤；,创伤严重度评分,临床资料,讨论,参考文献：
摘要： 目的 探讨创伤严重度评分(ISS)与病情及预后的关系，为早期通过AISISS法预测创伤病人病情与预后提供科学依据。方法 收集我科1994、1999、2003年创伤住院病人的临床资料，分析ISS与患者伤后脉搏、血压、休克程度、手术相对危险、住院天数及疾病结局的关系。结果 在其他因素不变的情况下，ISS每增加1分，住院天数增加0.32天(P<0.0001)； 手术相对危险度增加0.062倍(OR值： 1.062，>1为危险因素)； 发生重度休克的可能性增加0.049倍(OR值： 1.049，>1为危险因素)，预后好转的可能性减少0.033倍(OR值： 0.967，<1为危险因素)。结论 ISS与创伤病人病情与预后有密切关系； 对严重创伤病人入院后进行ISS评估，有助于正确评估病情及预后。关键词: 创伤； 创伤严重度评分
Role of AISISS in evaluating condition and prognosis of multitrauma patients
LI Siqi,TANG Manli,GAO Wei,et al.
(Department of Traumatic Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
Abstract： Objective To provide scientific testimony of predicting patient's condition and prognosis by using Injury Severity Score (ISS) in the early period. Methods The clinical data of trauma patients admitted in our hospital during 1994,1999 and 2003 were collected,and the relationship between ISS and patients pulse、blood pressure、shock degree、relative risk of operation、time of hospitalization and prognosis were analyzed. Results Under the condition that other influent eliments keeping the same,ISS increased every one score,time of hospitalization will increase 0.32 day(P<0.0001),and relative risk of operation will increase 0.062 times(OR value=1.062,>1 is the risk factor),the possibility of severe shock will increase 0.049 times(OR value=1.049,>1 is the risk factor),and the possibility of a better prognosis will decrease 0.033 times(OR value=0.967,<1 is the risk factor). Conclusion There is a close relationship between ISS and the condition and prognosis of trauma patients. A correct ISS of severe trauma patients after injury is helpful for evaluating their condition and prognosis. ......
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