Clinical characteristics of early blood coagulation function in patients with simple and complex severe closed chest trauma
JI Qiang
YANG Li-jun
WU Dong
Abstract：Objective To improve the early identification and intervention for the patients with severe closed thoracic trauma by discussing the changes of blood coagulation function in these patients.Methods A ret-rospective study was carried out in 228 patients with severe closed chest trauma,who were admitted to hospital within 24h with AIS≥3 according to AIS-90.They were divided into different groups on the basis of whether with blood transfusion,multiple injury,ISS>25 and GCS<9.The differences of coagulation function 24h after admission were compared.Results Among the 228 patients,15 cases died.The ISS score in the death group was higher than that in the survival group(t=14.49,P<0.01);GCS was lower than that in the survival group(t=14.44,P<0.01). D-D and fibrinogen degradation products(FDP)in the severe closed chest trauma patients with multiple trauma group,ISS >25 group and GCS<9 group were higher than those of their corresponding control groups,(P<0.01);PT in the ISS >25 group was higher than that in ISS ≤25 group.Conclusion Among severe closed chest trauma patients with multiple injury,D-D and FDP were significantly increased in the early period and the patients had high GCS and ISS score.D-D and FDP was an important index for clinical screening of high-risk patients with trauma and guidance for early intervention.
Keywords：chest traumamultiple injurycoagulation functionscore
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 84-87 )