干旱区生态环境知识资源中心(Arid): 腹部创伤器官损伤谱及伤情谱调查分析

Arid

	腹部创伤器官损伤谱及伤情谱调查分析
其他题名	Investigation of injury spectrum and traumatic condition spectrum of trauma of abdominal organs
	王永征; 王锡宏
来源期刊	中华创伤杂志
ISSN	1001-8050
出版年	2004
卷号	20 期号:9 页码:522-524
中文摘要	目的探讨近年来腹部创伤器官损伤谱及伤情谱的变化. 方法对1999～2001年我院收治247例腹部创伤器官损伤谱、伤情谱、受伤人员的性别、年龄、职业、伤因等资料进行分析,伤情按简明损伤定级标准-损伤严重度评分(AIS-ISS)法评分. 结果 1999～2001年腹部创伤患者分别为54,72,121例.治愈241例,死亡6例,病死率2.5%.247例有292个腹部器官损伤,按发生的频率依次为脾126例(43.2%)、肾55例(18.8%)、肝40例(13.7%)、小肠19例(6.5%)、膀胱14例(4.8%)、胰11例(3.8%)、结肠11例(3.8%),其他分别是胃、十二指肠、直肠.≤40岁192例,占77.7%.伤因前三位分别是交通伤95例(38.5%)、跌伤54例(21.9%)、踢伤及拳击伤36例(14.6%).仅有腹内脏器伤168例,AIS=3的80例(47.6%)、=4的32例(19.0%)、=5的10例(6.0%);多发伤79例(32.0%),ISS≥16的27例(34.2%),其中≥25的8例(10.1%). 结论随着车辆和流动人员的逐年增加,交通伤、意外伤及斗殴等引起的腹部创伤也逐年增多.受伤人员以农民、学生、工人最多.受伤器官以实质脏器脾、肾、肝居前三位.AIS为重伤以上的大于半数.为减少腹部创伤,要加强交通安全宣传,提高群众素质.
英文摘要	Objective To discuss the injury spectrum and traumatic condition spectrum of trauma of abdominal organs in recent years. Methods Data of 247 cases with trauma on abdominal organ admitted in our hospital from 1999 to 2001 were analyzed in respects of injury spectrum, sex, age, vocation and injury causes of the cases with trauma of abdominal organs. Traumatic condition was evalua-ted by abridged injury score-injury severity score (AIS-ISS). Results There were 54 cases with trauma of abdominal organs in 1999, 72 in 2000 and 121 in 2001. Of all, 241 cases were cured but 6 died, with a fatality rate of 2. 5%. The occurrence frequency of trauma of abdominal organs could be ranked in turn as follows; the spleen (43.2% ), the kidney (18. 8% ) , the liver (13. 7% ), the small intestine (6.5% ) ,the bladder (4. 8% ) , the pancreas (3. 8% ) , the colon (3. 8% ) , the stomach, the duodenum and the rectum. A total of 192 cases at age under 40 years accounted for 77. 7% . Three injury causes ranked the first three places were traffic accident in 95 cases (38. 5% ) , fall in 54 (21. 9% ) , kick and boxing in 36 (14. 6% ) , respectively. Of all, 168 cases had only intraabdominal injuries, of which 80 (47.6% ) were with AIS =3, 32 (19.0% ) with AIS =4 and 10 (6. 0% ) with AIS = 5 ; and the other 79 cases (32.0% ) were complicated by multiple trauma, with ISS ≥ 16 in 27 oases (34.2% ) and ISS ≥25 in 8 (10.1%). Conclusions With the increase of vehicles and current personnel, the trauma of abdominal organs caused by traffic accident, accidental wound and conflict increases accordingly. People most apt to organ injuries are farmers, students and workers. Three organs ranked first three places are the spleen, the kidney and the liver. More than half cases we injured severely in accordance with AIS. To decrease trauma of abdominal organs, we must strengthen the education on traffic safety to raise their bewareness of injuries.
中文关键词	腹部损伤 ; 损伤严重度 ; 伤情谱
英文关键词	Abdominal trauma Injury severity score Injury spectrum
语种	中文
国家	中国
收录类别	CSCD
WOS类目	SURGERY
WOS研究方向	Surgery
CSCD记录号	CSCD:1578809
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/205814
作者单位	安徽省立医院普通外科, 合肥, 安徽 230001, 中国
推荐引用方式 GB/T 7714	王永征,王锡宏. 腹部创伤器官损伤谱及伤情谱调查分析[J],2004,20(9):522-524.
APA	王永征,&王锡宏.(2004).腹部创伤器官损伤谱及伤情谱调查分析.中华创伤杂志,20(9),522-524.
MLA	王永征,et al."腹部创伤器官损伤谱及伤情谱调查分析".中华创伤杂志 20.9(2004):522-524.