摘要
为探讨国外创伤评分系统对国人伤情评估的实用价值，应用ＲＴＳ．ＡＩＳ－ＩＳＳ及ＴＲＩＳＳ法对２２６０例伤员（ＡＩＳ≥３，院前时间≤２４小时）进行评分，伤员分为生存组（ｎ＝２０９３例）和死亡组（ｎ＝１６７例）。全组伤员的生理。解剖及年龄评分分别应用ＲＴＳ，ＡＩＳ－ＩＳＳ（ＡＩＳ－９０标准）及ＡＳＣＯＴ方法，生存概率（Ｐｓ）＝１／（１＋ｅ￣（－ｂ））。结果显示：死亡组的ＲＴＳ明显低于生存组，死亡组的ＩＳＳ明显高于生存组，而ＧＣＳ、ＳＢＰ及ＲＲ的ＩＳＳ与受伤最重部位相关。在ＡＩＳ－９０标准中，腹部空腔脏器穿孔及单纯性脑挫裂伤的评分偏低，而闭合性四肢骨折评分过高。全组Ｐｓ为０．９５±１．１０。
to discuss practical value of foreign trauma score method applied in Chinese traumapatients,TRS,AIS-ISS and TRISS method were applied in 2260 cases of trauma patients(AIS≥3,pre-hospital time≤24 hours),which were grourped as survival(n=2093)and death(n=167)cases. scores of physiological,anatomic index and age in all patients were given separately withRTS’AIS(the standard of AIS-90)and ASCOT method.The survival probability(Ps)was calcu-lated with 1/(1+e(-b)).The results were shown:RTS was lower and ISS was higher significantlyin the death group than in the survival group,in emptyorgan of abdomen and simple celebral centusion were much lower and that of clcased limbs fracturewere much higher in real trauma severity.Ps of all the patients were 0.95 ± 1.10.
出处
《川北医学院学报》
CAS
1996年第4期8-10,共3页
Journal of North Sichuan Medical College
基金
四川省卫生厅资助课题
关键词
创伤评分
生存概率
改良创伤评分
简明创伤评分
创伤严重度评分
Trauma seore,Survival probability,Revised Trauma score,Abbriviated injuryscore,Injury severity scalling.
