Analysis of risk factors of mortality in abdominal trauma
Analysis of risk factors of mortality in abdominal trauma
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DOI：
10.14744/tjtes.2019.12147
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发表时间：
2020-01-01
影响因子：
1.1
通讯作者：
Yilmaz, Sezai
中科院分区：
文献类型：
--
作者：
Gonultas, Fatih;Kutluturk, Koray;Yilmaz, Sezai
背景：本研究旨在分析急诊科评估的钝性和穿透性腹部创伤，治疗方法和死亡危险因素。方法：2009年1月至2019年4月期间，664名患者在我们的急诊科接受创伤手术评估。排除到达死亡后，资料缺失患者和无腹部创伤患者被排除在本研究之外。本研究对我院收治的113例腹部外伤患者进行评估。回顾性分析人口学、临床、预后和死亡率相关因素。结果：患者平均年龄36.08±16.1岁。男性患者90例。80例（70.8%）患者有钝性腹部创伤（BAT）。孤立性肝损伤28例（24.7%），孤立性脾损伤2例（1.7%）。合并肝脾损伤2例（1.7%）。死亡22例（19.4%）。死亡原因为不可逆失血性休克（40.9%）和中枢神经系统损伤（13.6%）。BAT是患者死亡的主要损伤机制(86.4% vs . 67%; p
BACKGROUND: The present study aims to analyze blunt and penetrating abdominal traumas that were evaluated in our emergency department, the treatment approaches and risk factors of mortality.METHODS: Six hundred and sixty-four patients were admitted to our emergency department for surgical evaluation for trauma between January 2009 and April 2019. After the exclusion of dead on arrival, patients with missing data and patients without abdominal trauma were excluded from this study. Hundred and thirteen patients with abdominal trauma admitted to our department were evaluated in this study. Demographic, clinical, prognostic and mortality related factors were retrospectively analyzed.RESULTS: The mean age of the patients was 36.08 +/- 16.1 years. There were 90 male patients. Eighty patients (70.8%) had blunt abdominal trauma (BAT). Twenty-eight patients (24.7%) had isolated liver and two patients (1.7%) had isolated spleen injury. Combined liver and spleen injury was found in two patients (1.7%). Twenty-two (19.4%) patients had mortality. Causes of mortality were an irreversible hemorrhagic shock (40.9%) and central nervous system (13.6%) injuries. BAT was the main mechanism of injury in patients with mortality (86.4% versus 67%; p