研究文章
潜在的风险因素是严重钝多发性创伤患者住院死亡率生存初始复苏
表4
期间的损伤模式和诊断ED评价根据体格检查,实验室和放射性的发现195名患者。
|
|
幸存者 (n =152年,88年
) |
Nonsurvivors (n =43岁的22
) |
所有的病人 (n =195) |
p
|
|
| 头部受伤(n
) |
62 (41
) |
38 (88
) |
100 (
51) |
0.0001 |
| 严重创伤性脑损伤 |
24 (16
) |
27 (63
) |
51 (26
) |
0.0001 |
| 中度创伤性脑损伤 |
21日(14
) |
9 (21
) |
30 (15
) |
0.182 |
| 蛛网膜下腔出血 |
26 (17%) |
23 (53%) |
49 (25%) |
0.0001 |
| 硬膜下、硬膜外血肿 |
20 (13%) |
24 (56%) |
44 (23%) |
0.0001 |
| Intraparenchymal出血 |
15 (10%) |
5 (12%) |
20 (10%) |
0.462 |
| 挫伤 |
10 (6%) |
8 (19%) |
18 (9%) |
0.023 |
| 脑弥漫性轴索损伤 |
8 (4%) |
6 (14%) |
14 (7%) |
0.060 |
| 骨折 |
29 (19%) |
18 (42%) |
47 (24%) |
0.002 |
| 肢体损伤(n
) |
132 (87
) |
36 (84
) |
168 (86
) |
0.381 |
| 骨盆骨折 |
42 (28%) |
12 (28%) |
52 (27%) |
0.556 |
| 股骨骨折 |
40 (26%) |
9 (21%) |
49 (25%) |
0.307 |
| 其他的骨折 |
98例(64%) |
31 (72%) |
129例(66%) |
0.228 |
| 截肢 |
5 (3%) |
1 (2%) |
6 (3%) |
0.604 |
| 胸受伤(n
) |
76 (50
) |
27 (63
) |
103 (53
) |
0.095 |
| 肺挫伤 |
47 (31%) |
16 (37%) |
63例(32%) |
0.274 |
| 血胸 |
29 (18%) |
9 (21%) |
38 (19%) |
0.425 |
| 气胸 |
27 (18%) |
16 (37%) |
43 (22%) |
0.008 |
| 肋骨骨折 |
42 (28%) |
17 (40%) |
59 (30%) |
0.096 |
| 颌面部损伤(n
) |
26日(17
) |
13 (30
) |
39 (20
) |
0.059 |
| 脊髓损伤(n
) |
30 (20
) |
9 (21
) |
39 (20
) |
0.537 |
| 腹部损伤(n
) |
20 (13
) |
9 (21
) |
29日(15
) |
0.153 |
| 肝脏创伤 |
14 (9%) |
8 (19%) |
22 (11%) |
0.079 |
| 脾损伤 |
7 (5%) |
4 (9%) |
11 (6%) |
0.204 |
| 其他人 |
3 (2%) |
0 (0%) |
3 (2%) |
0.472 |
| 泌尿生殖器的损伤(n
) |
2 (1
) |
4 (9
) |
6 (3
) |
0.022 |
| 血管损伤(n
) |
6 (4
) |
5 (12
) |
11 (5
) |
0.067 |
| 严重出血
(n
) |
26日(17
) |
26日(60
) |
52 (27
) |
0.0001 |
| 凝血病入院时(n
) |
6 (4
) |
9 (21
) |
15 (8
) |
0.0001 |
|
|
创伤性脑损伤:创伤性脑损伤。
阶段3和4出血性shockduring艾德承认; 代表 p生存和nonsurviving团体之间的值比较。
|