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| Retrospective Analysis of the Risk Factors and the Causes of short-term Death after Severe Abdominal Trauma |
| LIU Shihui, LV Liangfeng, HU Chengwen |
| The First People's Hospital of Bengbu, Anhui Bengbu 233000, China |
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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.
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2020, Vol. 26 
