Analysis of Risk Factors of Mortality in Patients with Severe Abdominal Trauma
QU Ji-fu
LIU Ming-hua
YAO Yuan-zhang
REN Shi-song
AN Yu-zhang
XU Shi-wei
REN Xiao-bao
XIANG Qiang
YIN Chang-lin
Abstract：Objective To screen and analyze risk factors in patients with severe abdominal trauma so as to reduce mortality rate. Methods A retrospective review of our trauma database from January 2000 to December 2008 was conducted. Demographics, injury severity evaluation and clinical data, such as vital signs, laboratory examination results, mortality and the main causes were collected and analyzed. A comparison was made between groups of the survived and the dead. Results 175 patients (91. 15% ) survived by means of operation, fluid resuscitation and supportive treatment, only 17 patients (8. 85% ) died. The main causes of death were shock, severe head injury and sepsis. There were significant difference be-tween the patients of the two groups (the survived and the dead) in heart rates, systolic pressure, WBC, Hb, HCT, PLT, LOS, surgical times and blood transfusion (P < 0. 05 or P < 0. 01). Conclusion The death of severe traumatic patients is not only related to injury severity, but also related to the deterioration of physiological status and secondary pathophysiological changes. It is of critical value to quickly block and correct the abnormal deterioration for these patients. It is also of great sig-nificance to correct and stop deterioration of the condition in order to save the patient's life.
Keywords：Wound and injuryInjury evaluationMortalityRisk factor
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 64-67 )