Abstract：Objective: To analyze the causes and risk factors of short-term death after severe abdominal trauma. Methods: The clinical data of 80 patients with severe abdominal injuries were retrospectively analyzed. According to the outcome, the patients were divided into death group and survival group. The cause of death was analyzed. The causes of death of the patients were analyzed, and the data of gender, age, time from injury to admission, operation time, injury classification, assessment results of injury at admission, detection results of relevant indicators, and whether cardiopulmonary resuscitation was adopted were compared between the two groups. Multivariate Logistic regression analysis was used to identify the risk factors for short-term death after severe abdominal trauma. Results: 15 of 80 patients died (18.75%). Causes of death: central respiratory and circulatory failure in 6 cases (40.00%), traumatic shock in 4 cases (26.67%); acute respiratory distress syndrome in 3 cases (20.00%); multiple organ failure in 2 cases (13.33%). The proportion of patients with age > 60 years old, multiple injuries, ISS score ≥ 16 was significantly higher than that of patients with survival (P<0.05), while the body temperature of patients with death at admission was significantly lower than that of patients with survival, Apache Ⅱ score, alkali surplus, Pt, and significantly higher than that of patients with survival (P<0.05). Logistic multiple regression analysis showed that age, apcahe Ⅱ score, multiple injuries and ISS score were independent risk factors for short-term death after severe abdominal trauma (P<0.05). Conclusion: The cause of death in patients with severe abdominal trauma is central respiratory and circulatory failure and traumatic shock, and is closely related to patient age, APCAHE II score, multiple trauma, and ISS scores.
刘士会, 吕良峰, 胡成文. 严重腹部创伤后短期死亡原因调查及危险因素的回顾性分析[J]. 河北医学, 2020, 26(2): 307-310.
LIU Shihui, LV Liangfeng, HU Chengwen. Retrospective Analysis of the Risk Factors and the Causes of short-term Death after Severe Abdominal Trauma. HeBei Med, 2020, 26(2): 307-310.
[1] 王革非,任建安,黎介寿,等.腹部创伤并发腹腔感染的治疗进展[J].创伤外科杂志,2017,19(12):888~891. [2] 刘超,王振杰,姜海,等.以腹部创伤为主的严重多发伤的救治[J].中华全科医学,2014,12(5):688~690. [3] 赵山红,高劲谋,胡平,等.521例腹部创伤的救治分析[J].重庆医学,2015,44(6):769~771,774. [4] 胡妙仙,谢红燕,朱海飞,等.急诊外科胸腹部创伤手术后切口感染的病原菌分布及相关危险因素分析[J].中华医院感染学杂志,2017,27(1):128~131. [5] Lim KH, Jang J, Yoon HY, et al. Acute superior mesenteric vein thrombosis associated with abdominal trauma: A rare case report and literature review[J]. Medicine,2017,96(47):8863~8867. [6] 屈纪富,刘明华,姚元章,等.严重腹部创伤患者死亡危险因素分析[J].临床误诊误治,2015,28(7):64~67. [7] Loftus TJ, Jordan JR, Croft CA, et al. Characterization of hypoalbuminemia following temporary abdominal closure[J].Trauma Acute Care Surg,2017,83(4):650~656. [8] Black H, Whalen D, Alani S, et al. All-terrain vehicle-related injuries and deaths in newfoundland and labrador between 2003 and 2013: a retrospective trauma registry review[J]. CJEM,2018,20(2):207~215. [9] Gong J, Mei D, Yang M, et al. Emergency CT of blunt abdominal trauma: experience from a large urban hospital in Southern China[J]. Quant Imaging Med Surg,2017,7(4):461~468. [10] Hu Q, Ren J, Wu J, et al. Elevated levels of plasma mitochondrial DNA are associated with clinical outcome in intra-abdominal infections caused by severe trauma[J]. Surg Infect,2017,18(5):610~618. [11] Scriba MF, Laing GL, Bruce JL, et al. The absolute number of repeat operations for complex intra-abdominal sepsis is not a useful predictor of non-survival[J].Afr Surg,2017,55(2):32~35. [12] 朱承良,童波,严培军,等.腹部损害控制性手术后早期死亡的危险因素分析[J].中华创伤杂志,2016,32(1):74~77.
2020, Vol. 26 
冀公网安备13080202000677号