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目的观察严重多发伤患者进行重症监护治疗的效果。方法 133例严重多发伤患者作为研究对象,其中入重症监护病房(ICU)治疗的100例患者作为观察组,非ICU治疗的33例患者作为对照组,记录观察组治疗中出现的多器官功能障碍综合征(MODS)、全身炎性反应综合征(SIRS)和应激性溃疡伴随出血症及其治愈率;比较两组治疗效果。结果观察组患者发生SIRS 24例(24.0%),治愈20例(83.3%);发生MODS 12例(12%),治愈11例(91.7%);应激性溃疡伴随出血症发生18例(18%),治愈16例(88.9%)。对照组患者中致残13例(39.4%),死亡10例(30.3%);观察组患者中致残15例(15.0%),死亡12例(12.0%)。观察组致残率、死亡率均明显低于对照组,差异具有统计学意义(χ~2=8.8835、6.0210,P=0.0028、0.0141<0.05)。结论 ICU治疗严重多发伤患者治疗效果良好,能大大提升救治成功率。
Objective To observe the effect of intensive care treatment in patients with severe multiple trauma. Methods One hundred and thirty-three patients with severe multiple trauma were enrolled in this study. One hundred patients admitted to intensive care unit (ICU) as observation group and 33 non-ICU patients as control group were included in this study. Multiple organ dysfunction Syndromes (MODS), systemic inflammatory response syndrome (SIRS) and stress ulcer with hemorrhagic disease and its cure rate; the treatment effect was compared between the two groups. Results In the observation group, 24 cases (24.0%) had SIRS, 20 cases (83.3%) were cured, 12 cases (12%) were MODS, and 11 cases (91.7%) were cured. 18 cases of stress ulcer accompanied by haemorrhage %), Cured 16 cases (88.9%). In the control group, 13 (39.4%) were disabled and 10 (30.3%) died. In the observation group, 15 were disabled (15.0%) and 12 died (12.0%). The morbidity and mortality in the observation group were significantly lower than those in the control group (χ ~ 2 = 8.8835,6.0210, P = 0.0028,0.0141 <0.05). Conclusion ICU treatment of severe multiple trauma patients with good treatment, can greatly enhance the success rate of treatment.