急诊胸腹联合创伤患者死亡的危险因素分析

摘要

Objective To analyse the risk factors of mortality on emergency combined thoracoabdominal injury patients. Methods 460 emergency CTI patients who treated in our hospital were analysed retrospectively and divided into death group and survival group according to the prognosis, the risk factors of CTI patients was analyzed. Results Age (OR = 1.839, 95% CI = 1.121-3.879), no visiting time long after injury (OR = 3.462, 95% CI = 1.982-7.833), high ISS score (OR = 1.912, 95% CI = 1.112-6.545), APACHE score (OR = 1.293, 95% CI = 1.011-3.982), duration of mechanical ventilation (OR = 2.788, 95% CI = 1.653-6.542), respiratory dysfunction (OR = 2.434, 95% CI = 1.422-5.435), circulatory dysfunction (OR = 1.453, 95% CI = 1.211-3.877), renal dysfunction (OR = 2.546, 95% CI = 1.674-11.879) were risk factors for death in patients. Conclusion It is necessary to take corresponding measures in clinical first aid work, so as to improve the prognosis of patients, improve the survival rate of patients.%目的 分析急诊胸腹联合伤(CTI)患者死亡的危险因素,为提高CTI患者的存活率提供科学依据.方法 回顾性分析我院收治的460例急诊CTI患者,按照其预后情况分为死亡组(78例)和存活组(382例),分析影响CTI患者死亡的危险因素.结果 多因素分析发现,高龄(OR = 1.839,95% CI = 1.121～3.879)、伤后长时间未就诊(OR = 3.462,95% CI = 1.982～7.833)、ISS评分高(OR = 1.912,95% CI = 1.112～6.545)、APACHEⅡ评分高(OR = 1.293,95% CI = 1.011～3.982)、机械通气时间长(OR = 2.788,95% CI = 1.653～6.542)、呼吸功能障碍(OR = 2.434,95% CI = 1.422～5.435)、循环功能障碍(OR = 1.453,95% CI = 1.211～3.877)、肾功能障碍(OR = 2.546,95% CI = 1.674～11.879)是患者死亡的危险因素.结论 在临床急救工作中应采取相应措施,改善患者预后,提高患者存活率.