摘要
目的 探讨全身炎症反应综合征 (systemicinflammatoryresponsesyndrome ,SIRS)评分对预测钝性创伤后感染的价值。方法 回顾性分析了 1 90 8例钝性创伤致多发伤 ,分为感染组及非感染组 ,研究与SIRS评分的关系。结果 在 1 90 8例中 ,5 74例 (30 % )发生感染 ,感染组与非感染组比较 ,平均住院时间和病死率明显延长或增加 (P <0 .0 1 )。 4个SIRS可变参数 (体温、心率、白细胞计数、呼吸频率 )中 ,低体温、白细胞增加比年龄和ISS等指标对预测感染较为敏感。结论 钝性创伤病人入院时SIRS评分≥ 2分可能预示感染发生和预后不良。早期实施干预措施对防止感染的发生具有指导意义。
Objective To investigate the association between the increasing severity of systemic inflammatory response syndrome (SIRS) and the incidence of posttraumatic infection.Methods 1908 trauma patients with multiple injury caused by blunt force were studied retrospectively and were divided into infected and non infected group to explore the relation with SIRS scores.Results Of the 1908 patients,574 (30%) acquired an infection. The mean hospital length of stay and mortality were significantly greater in the infected group (P<0.01). Of the four SIRS variables,hypothermia and leukocytosis were the most sensitive predictors of infection.Conclusion An admission SIRS score of ≥2 may be a significant predictor of infection and poor outcome in blunt trauma.Earlier intervention for prevention of infection should be instructive.
出处
《创伤外科杂志》
2004年第1期31-33,共3页
Journal of Traumatic Surgery
关键词
全身炎症反应综合征
创伤评分
感染
预后
systemic inflammatory response syndrome
traumatic score
infection
outcome
