多发伤

一期髓内针内固定治疗多发伤的肢体骨折

The Primary Operative Treatment of Long Bone Shaft Fractures of Multiple Trauma by Intramedullary Nailing

结论：1、多发伤患者早期即可发生凝血功能紊乱，其变化具有一定的规律，并与病情严重度和预后有关。

Multiple trauma patients can develops coagulation disorder at early stage . It has certain principles during its cause and is correlated to the patients ' condition and recovery .

脂微球&前列腺素E1治疗多发伤后肝功能损害的疗效评价

Clinical effects of Lipo-prostaglandin E_1 on the liver dysfunction after multiple trauma

降钙素原及C反应蛋白动态变化与严重多发伤后MODS的相关性研究

Relevance of dynamic changes of PCT and CRP with MODS after severe multiple trauma

结论：多发伤的死亡率明显高于单部位伤（P＜0.01～0.05）。

Conclusion : Patients with multiple injuries had significantly higher mortality than those with single injury ( P < 0 . 05 or P < 0.01 ) .

结论严重多发伤患者外周血单核细胞HLADR抗原表达量与创伤严重程度和预后有明显的相关性。

ConclusionThe expression of HLA-DR was closely correlated with the severity and prognosis of the trauma .

严重多发伤的ICU监护及治疗

Monitor and treatment of patients with severe multiple trauma in Intensive Care Unit

APACHEⅡ评分系统对ICU多发伤病例的预后评估

Prediction of outcome by APACHE ⅱ scoring system for multiple trauma patients in ICU

严重多发伤致MODS分期诊断与临床意义

Clinical significance of diagnostic classification for MODS caused by severe multiple trauma

严重多发伤患者血清IL-8、ACTH、Cor水平的变化

Changes of serum IL-8 , ACTH and Cor concentrations in severe trauma patients

ISS值与多发伤预后呈正相关关系。

It is close relation ISS and prognosis of multiple trauma .

多发伤后，血浆Fn发生明显有规律改变。

After multiple injuries , obvious and regular changes will happen to plasma Fn .

CK、CK-MB和CK-MB/CK比值在诊断多发伤合并心肌损伤中的临床意义

Clinical significance of CK , CK-MB and CK-MB / CK ratio in diagnosis of multiple traumas with myocardial damage

目的：探讨严重多发伤患者IL-8、ACTH、Cor血清浓度的变化。

Objective : To investigate the changes of serum IL-8 , ACTH and Cor concentrations in severe trauma ( patients ) .

结果严重多发伤后2h即可从血中检测出细菌DNA，共有10例患者细菌DNA检测PCR阳性（62.50%）。

Results Microbial DNA could be detected in blood as early as 2 hours following severe trauma , and altogether positive results were found in 10 patients ( 62.50 % ) .

乌司他丁能够保护严重多发伤患者的脏器功能，降低MODS的发生率。

Ulinastati has a protective effect on organ function in Severe Multiple Trauma patients , and can decrease morbidity rate of MODS .

目的探讨多发伤并发抗生素相关性肠炎（antibiotic-associatedcolitis，AAC）的临床特点、诊断和治疗。

Objective To analyze the clinical characteristics , diagnosis and treatment of antibiotic-associated colitis after multiple traumas .

多发伤病人外周血PMNsICAM-1、LFA-1表达的变化及意义

Expression of ICAM-1 , LFA-1 on the Peripheral PMNs in Patients with Multiple Injuries and Their Significance

目的探讨联合应用乌司他丁和山莨菪碱对多发伤致急性肺损伤（ALI）的预防作用及临床意义。

Objective To assess the clinical preventive effect outcome of severe multiple injury patients with acute lung injury ( ALI ) treated with ulinastatin and anisodamine .

方法总结1990年1月～2004年3月接受ICU监护和治疗的2236例严重多发伤临床资料，分析严重多发伤ICU监护及治疗中的几个重要问题，并提出处理要点。

Methods The clinical data of 2 ! 236 patients with severe multiple trauma monitored and treated in ICU from Jan 1990 to Mar 2004 was studied retrospectively .

结论对于多发伤并FES患者中的长骨干骨折，以钢板或非扩髓髓内钉内固定较安全；

Conclusions Internal fixation by plate and intramedullary nailing without reaming are safe for polytraumatized patients with FES and long bone fractures .

目的探讨血清炎性因子白介素-6（IL-6）、白介素-8（IL-8）、白介素-10（IL-10）及肿瘤坏死因子（TNF）在多发伤中所起的作用。

Objective To investigate the effect of inflammatory cytokines interleukin-6 ( IL-6 ), interleukin-8 ( IL-8 ), interleukin-10 ( IL-10 ) and tumor-necrosis factor ( TNF ) in multiple injury .

目的探讨多发伤后全身炎性反应综合征（SIRS）的特点、不同程度SIRS与MODS的关系以及对进展为多器官功能障碍综合征（MODS）的防治。

Objective To investigate the characters of systemic inflammatory response syndrome ( SIRS ) and multiple organ dysfunction syndrome ( MODS ) in multiple trauma patients .

结论在严重多发伤患者，pHi可以早期提供内脏缺血的信息，为预防多器官功能不全提供实用可靠的监测手段。

Conclusion pHi maybe a signal of early internal organs ischemia , which will provide solid monitoring measure for multiple organ failure .

结论多发伤病人血清新喋呤水平与ISS值呈显著正相关；

Conclusion ISS score is positive correlative with the serum neopterin level , and it may be of great value to estimate the injury severity ;

方法：按照损伤严重度评分法（ISS），对63例ISS值≥20分、以胸部损伤为主的严重多发伤患者，采取各种对策进行抢救治疗。

Methods : Sixtythree cases of severe chest trauma with concomitant multiple injuries and injury severity scores ( ISS )≥ 20 were treated with different strategies .

目的分析影响严重多发伤并发急性肺损伤（ALI）及急性呼吸窘迫综合征（ARDS）生存率的危险因素。

Objective To investigate risk factors affecting the survival rate in serious multiple traumatic patients associated with acute lung injure ( ALI ) / acute respiratory distress syndrome ( ARDS ) .

结论脊柱脊髓损伤为主严重多发伤急诊适用伤害控制原则，可有效减少ARDS和MOF的发生；

Conclusion For the emergency treatment of spinal core injury in patients with severe polytrauma the damage control stragtery is recommended to reduce the the incidence of ARDS and MOF .

规范应用AIS-ISS（2005）提高多发伤诊断水平

Standard application of AIS-ISS ( 2005 ) to elevate diagnostic level of multiple injury

方法回顾性分析了1908例钝性创伤致多发伤，分为感染组及非感染组，研究与SIRS评分的关系。

Methods 1908 trauma patients with multiple injury caused by blunt force were studied retrospectively and were divided into infected and non infected group to explore the relation with SIRS scores .