创伤后多器官功能障碍综合征预警及护理
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摘要
目的探讨创伤后多器官功能障碍综合征的预警及护理。方法参考ISS评分对严重创伤患者32例进行入院时评分,根据评分对患者进行分级,对评分大于20分者进行严密监测并加强护理。结果所有患者均未发生MODS。结论参考ISS评分的评分体系能对创伤患者的伤情进行准确评判,在此基础上的严密监测和护理能降低患者发生MODS的可能性,进而降低患者病死率。
引文
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[4]Calvete JO,Schonhorst L,Moura DM,et al.Acid-base disarrangement and gastric intramucosal acidosis predict outcome from major trauma[J].Rev Assoc Med Bras,2008,54(2):116-121.
[5]Wanner GA,Keel M,Steckholzer U,et al.Relationship between procalcitonin plasma levels and sevenity of injury,sepsis,organ failure,and mortality in injured patients[J].Crit Care Med,2000,28(4):950-957.
[2]马晓媛、肖雅、田李星、等.创伤后多器官功能障碍综合征预警指标的研究进展[J].中华创伤杂志,2016,32(1):89-92.
[3]Sardinha Ds,de Sousa RM,Nongueira LS,et al.Risk factors for the mortality of trauma victims in the intensive care unit[J].Intensive Crit cate Nurs,2015,31(2):76-82.DOI:10.1016/j.iccn.2014.10.008.
[4]Calvete JO,Schonhorst L,Moura DM,et al.Acid-base disarrangement and gastric intramucosal acidosis predict outcome from major trauma[J].Rev Assoc Med Bras,2008,54(2):116-121.
[5]Wanner GA,Keel M,Steckholzer U,et al.Relationship between procalcitonin plasma levels and sevenity of injury,sepsis,organ failure,and mortality in injured patients[J].Crit Care Med,2000,28(4):950-957.