【摘要】 目的探讨重症胸部损伤死亡的高危因素。方法回顾分析我院近20年来收治的478例重症胸部损伤的临床资料,对其中死亡患者进行单因素和逻辑回归分析,推测初诊时可能发生死亡的高危因素。结果共有31例死亡,死亡率为6.5%。单因素分析初诊时可能死亡的主要危险因素为年龄、受伤时间、休克、基础疾病,ISS值、呼吸频率、肺挫伤、低氧血症,血气胸、颅脑损伤,心脏大血管损伤,腹腔脏器损伤(P<0.05)。逻辑回归分析初诊时影响重症胸外伤发生死亡的独立高危因素为:高龄、休克、基础疾病、ISS值、低氧血症、颅脑损伤、心脏大血管损伤。结论对重症胸部损伤针对高危因素进行治疗,有可能降低死亡率。更多还原

【Abstract】 ObjectiveTo analyze the high risk factors of death in severe chest trauma.MethodsFour hundred and seventy-eight cases of severe chest trauma in the past 20 years were retrospectively analyzed.The high risk factors of severe chest trauma were presumed through univariate analysis and logic regression analysis of dead patients.ResultsThirty-one cases died.The death rate was 6.5%.The univariate analysis showed that the high risk factors of death in severe chest trauma at preliminary diagnosis were age,injury time,shock,pre-existing diseases,ISS value,respiratory rate,pulmonary contusion,hypoxemia,hemopneumothorax,brain injury,injury of heart and big blood vessel,abdominal cavity organ injury(P<0.05).Logic regression analysis showed that the high risk factors related to death in severe chest trauma were old age,shock,pre-existing disease,ISS value,hypoxemia,brain injury,injury of heart and big blood vessel.ConclusionTherapy aimed directly at the high risk factors of severe chest trauma may reduce the death rate.更多还原