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1、192例创伤急诊手术患者综合创伤评分分析?798-192例创伤急诊手术患者综合创伤评分分析班雨,沈洪,周宝林,黎檀实,滕青山,田万管,张高魁CG~C20o6hineseG啪eneralNo.Practice?论着?【摘要】目的评估我院l92例急诊手术创伤患者的救治结果,并对比分析创伤和损伤严重度评分(TRISS)和创伤严重程度特征评价法(ASCOT)预测生存概率(I)s)的准确性,特异性和敏感性.方法对l92倒创伤急诊手术患者分别应用TRISS,ASCOT评分法预测其Ps,并比较其准确性,特异性和敏感性..结果l92例患者实际存活l72例(8
2、9.6%),TRISS预测存活178倒(92.7%),ASCOT预测存活l73例(9O.1%),两种方法预测Ps值的准确性,特异性和敏感性问差别均无显着性意义(均P<001),结论拳组严重创伤患者预后结局与北美创伤数据库预后结局相当;ASCOT预测的死亡组值<0.5,与实际相符,可信度较高,优于TRISS法..【关键词】创伤和损伤严重度评分;创伤严重程度特征评价法;急救【中图分类号】R641【文献标识码】A【文章编号】l007—9572(2006)10一,9798—03AnalysisoftheTraumaScoreon192Tr
3、aumaPatientswithEmergencyOperationBANh.SHENHong.ZHOUBao—lin,eta1.DepartmentofEmergencyMedicine,GeneralHospitaloftheP,Beijing100853,China【Abstract】ObjectiveToevaluatethetherapeuticeffectot'tlle,192patienlswithseveretraumaundernenttheemergen—cyoperationinourhospitalandcompare
4、theaccuracy,specificityandsensitivityofthetraumaandinjuryseverityscore(TRISS)andaseveritycharacterizationoftranma(ASCO…1)usedtopredictthesurvivalprobability.MethodsThesurvivalprobabilityof192traumapatientswascalculatedintheemergencyoperationbyTRISSandASCOT.Theresultswerecom
5、paredwitheachotherbythecomputerstatisticsanalysissystemResultsAmongthe192cases,theactualsurvivalswere172cases(89.6%),thesurvivalsexpectedbyTRISSwere178eases(92.7%)and173cases(90.I%)byASCOT.ThereWaSnosignificantdifferenceinthesurvivalprobabilitybetweenthetwomethods(P<0.O1
6、).ConclusionTheprognosisresultinthisgroupisequaltothatofNorthAmericantraumadatabase.Thereinosignificantdifl~rerice1)etweellTRISSall(1ASCOTinaccuracy.specificityandsensitivity,butlmthsensitivitiesarequitelow;Thereisobviousdifferenceinthesurvivalprobabilityinthedeathgroup.The
7、survivalprobabilityinASCO.rgroupislessthan0.5.whichismorercliableandbetterthanthatinTRISSgroup.【Keyword】TIaumaandinjuryseverityscore;Aseverilycharacterizalionottunla;Firstaid国外已广泛应用综合创伤评分指标刨伤干u损伤严重度分(TRISS)和创伤严重程度特征评价法(ASCO一1)预测患者结局,评价治疗结果和指导抢救.但二者计算方法不同,对外权重系数能否准确反映国f^】伤情与
8、预后尚无一敛意见,本文试以我院创伤患者资料探讨两种评分方法埘生存慨率(Ps)颅测的准确性和敏感性1资料与方法1.1一一般资料以我院1998～2003年行手术治疗的1
