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目的 探讨急诊腹部多发伤患者的预后及其影响因素.方法选取2005年3-8月陕西省人民医院急诊科收治的144例腹部多发伤患者的临床资料进行回顾性分析.根据患者28 d死亡存活情况,将患者分为存活组93例、死亡组51例.采用logistic回归分析法探讨影响腹部多发伤患者预后的因素.结果经过治疗,28 d内死亡51例,存活93例,死亡率35.42%.Logistic回归模型多因素分析结果显示,受伤至入院时间较长、腹部大血管破裂、合并多处损伤、损伤程度评分增高、术前收缩压降低、术前体温降低、估计失血量增加、术前剩余碱减少是腹部多发性损伤患者死亡的危险因素.实施损伤控制手术是腹部多发性损伤患者预后的保护性因素.结论腹部多发性损伤患者死亡率高,多种因素会增加患者的死亡风险,因此积极抢救及采用损伤控制性手术有利于患者的预后.“,”Objective To investigate the prognosis and influencing factors of patients with multiple abdominal injuries. Methods A total of 144 patients with abdominal multiple injuries who were admitted into our hospital from March 2005 to August 2015 were enrolled into the current study and their clinical data were retrospectively analyzed.According to the survival of 28 days,the patients were divided into a survival group(n=93)and a death group(n=51).Based on logistic regression analysis, the influencing factors of the patients with multiple abdominal injuries were discussed. Results After treatment,there were 144 cases of death and 51 cases of survival within 28 day,with a mortality rate of 35.42%.According to logistic regression analysis,long time from injure to hospital admission,abdominal large vascular rupture, multiple injures and serious injury, decreases in systolic pressure before surgery, decreases in the body temperature before surgery, increases in estimated blood loss, residual alkali reduction before surgery were the risk factors for death in patients with abdominal multiple injuries.Meanwhile,application of injury control surgery was the protective factor of the prognosis of patients with abdominal multiple injuries.Conclusions Abdominal multiple injure has a high mortality,and several factors may increase the risk of death of patients.Therefore,active measures should be taken to improve the prognosis of patients.