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目的 分析多发性骨折后全身炎症反应综合征 (SIRS)的发生率及发病原因 ,提出预防和治疗原则。方法 多发性骨折 87例 ,分为SIRS组和非SIRS组 ,以比较两组的病死率。又以失血量分组 ,分析SIRS与失血量的关系。结果 多发性骨折SIRS发生率为 5 8 6 % ,病死率为 13 7% (P <0 0 5 )。随失血量增大 ,多发性骨折SIRS发生率升高 (r =1,P <0 0 5 )。结论 多发性骨折的SIRS发生率和病死率较高 ,SIRS的发生与失血量成正相关。
Objective To analyze the incidence and causes of systemic inflammatory response syndrome (SIRS) after multiple fractures and to propose the principles of prevention and treatment. Methods 87 cases of multiple fractures, divided into SIRS group and non-SIRS group, to compare the two groups of mortality. Again with the amount of blood loss group, analysis of the relationship between SIRS and blood loss. Results The incidence of multiple fractures SIRS was 58.6%, the mortality rate was 13.7% (P <0 05). With the increase of blood loss, the incidence of multiple fractures SIRS increased (r = 1, P <0 05). Conclusions The incidence of SIRS and mortality in multiple fractures are high, and the incidence of SIRS is positively correlated with the amount of blood loss.