Hélder Gonçalves, M. Rezende, Isadora Urquieta, L. M. D. Trindade, F. L. D. Cabral
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引用次数: 0
摘要
背景:创伤是一种以结构改变或生理失衡为特征的损伤,由急性暴露于某种形式的能量引起。世界上每年约有580万人死于创伤。在巴西,2016年约有484917人死于外部原因。在创伤类型中,胸部创伤是一个重要的死亡原因,存在多种病理,如果有足够的护理,与可避免的死亡原因有关。多年来,创伤评分一直在发展和修订,以预测这些患者的生存可能性,并指导医疗团队的策略。方法:在收集临床和人口统计数据的基础上,对Sergipe jo o Alves Filho医院收治的胸部外伤患者进行观察性、前瞻性、定量研究。结果:本组100例患者平均年龄39.32岁,男性占85.0%。53%的患者诊断为钝性创伤,其中33%为交通事故受害者;47%是穿透性创伤,26%是冷兵器21%是枪支。患者的平均生存率为93.2%。62.0%的病例伴有病变,其中四肢病变占45%,头颈部病变占45%。结论:创伤受害者的特征为男性,年龄在20 - 39岁之间,因车祸造成的钝性创伤,生存率高,并伴有其他身体部位的损伤。
Probability of Survival in Thoracic Trauma: Comparative Analysis of 100 Patients Attended in a Reference Hospital at Aracaju/SE
Background: Trauma is an injury characterized by structural alterations or physiological imbalance, resulting from acute exposure to some form of energy. Annually, about 5.8 million people die from trauma in the world. In Brazil, around 484,917 people died from external causes in 2016. Among the types of trauma, thoracic trauma is an important cause of death, existing multiple pathologies and association with avoidable causes of death if there were adequate care. Trauma scores have been developed and revised over the years to predict the likelihood of survival for these patients and guide healthcare teams' strategies. Methods: observational, prospective, quantitative study of victims of thoracic trauma who were admitted to Hospital João Alves Filho in Sergipe, based on the collection of clinical and demographic data. Results: from the sample of 100 patients, the mean age was 39.32 years, with 85.0% being male. 53% were diagnosed with blunt trauma, of which 33% were victims of traffic accidents; 47% penetrating trauma, being 26% by cold weapons and 21% by firearms. The average survival of these patients was 93.2%. Concomitant lesions were observed in 62.0% of the cases, 45% in the extremities and 45% in the head and neck. Conclusion: the profile of trauma victims were men between 20 and 39 years old, due to blunt trauma caused by a car accident, with a high probability of survival and associated injuries in other body segments.