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损伤分级

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2021-02-07 11:15
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2021年2月7日发(作者:strawberry)


创伤评分


-


创伤严重度评分:

< br>TRISS



The Trauma Score



Injury Severity Score (TRISS) determines the probability of survival (Ps) of a


patient


创伤评分


-


创伤严重度评分(


TRISS

)决定了病人的生存概率(


PS




from the ISS and RTS using the following formulae:


从 国际空间站和


RTS


使用下列公式:



Where 'b' is calculated from: 'B'


是计算:



The coefficients b0 - b3 are derived from multiple regression analysis of the Major Trauma Outcome


来自重大创伤的结果多元回归分析系数


B0 - B3


Study (MTOS) database.


研究



MTOS



数据库 。


AgeIndex is 0 if the patient is below 54 years of age


or 1 if 55 years and over. AgeIndex



0


, 如果病人是低于


54


岁,如果


55


岁以上或



1




b0 to b3 are coefficients which are different for blunt and penetrating trauma. B0



B3


系数是不同的


生硬和穿透伤。

< br>If the patient is less than


如果病人是少于



15, the blunt index for b3 (Age) is used regardless of mechanism. 15



B3


( 年龄)


的钝指数是不管用


的机制






APPENDIX 1



附录


1
































Small Bowel Injury Scale



小肠损伤分级



Grade*



等级


*



Description



说明



AIS-90




I




Hematoma


血肿



Contusion or hematoma without devascularization


没有断流的挫伤或血肿





2




Laceration


裂伤




Partial thickness, no perforation


偏厚,无穿孔






2




II




Laceration


裂伤


Laceration <50% of circumference


裂伤


<


周长的


50







3




III




Laceration


裂伤


Laceration >50% of circumference without transection


裂伤


>


周长的


50


%,无 横断



3




IV




Laceration


裂伤


Transection of small bowel


横断小肠




4




V




Laceration


裂伤


Transection


of small


bowel


with


segmental


tissue


loss


横断小肠节段性组织损失




4




V


ascular


血管


Devascularized segment Devascularized






4




* Advance one grade for multiple injuries up to grade III *


提前一级多处受伤三级




Colon Injury Scale



结肠损伤分级



Grade*



等级


*



Description



说明



AIS-90



AIS - 90



I




Hematoma


血肿


Contusion or hematoma without devascularization


没有断流的挫伤或血肿





2




Laceration


裂伤


Partial thickness, no perforation


偏厚,无穿孔






2




II




Laceration


裂伤


Laceration <50% of circumference


裂伤


<


周长的


50








3




III




Laceration


裂伤


Laceration >50% of circumference without transection


裂伤


>


周长的


50


%,无 横断



3




IV




Laceration


裂伤


Transection of the colon


结肠横断





4




V




Laceration


裂伤


Transection of the colon with segmental tissue loss


结肠节段性组织损失的横断



4




* Advance one grade for multiple injuries up to grade III *


提前一级多处受伤三级



Rectum Injury Scale



直肠损伤分级



Grade*



等级


*



Description



说明



AIS-90



AIS - 90



I




Hematoma


血肿


Contusion or hematoma without devascularization


没有断流的挫伤或血肿





2




Laceration


裂伤


Partial thickness laceration


偏厚裂伤







2




II




Laceration


裂伤


Laceration <50% of circumference


裂伤


<


周长的


50







3




III




Laceration


裂伤


Laceration



50% of circumference


圆周裂伤≥


50









4




IV





Laceration


裂伤


Full-thickness laceration with extension into the perineum


会阴扩展到全层裂伤



5




V




Laceration


裂伤


Devascularized segment Devascularized











* Advance one grade for multiple injuries up to grade III *


提前一级多处受伤三级



Diaphragm Injury Scale



膜片损伤分级



Grade*



等级


*



Description



说明



AIS-90



AIS - 90



I




Contusion


挫伤








2




II




Laceration



2 cm


裂伤≤


2


厘米







3




III




Laceration 2-10 cm


裂伤


2-10


厘米










3




IV




Laceration >10 cm with tissue loss



25 cm


裂伤组织缺损


> 10


厘米≤


25


厘米






3




V




Laceration with tissue loss >25 cm


与组织裂伤损失大于


25


厘米







3




* Advance one grade for bilateral injuries up to grade III *


提前一级双边受伤三级



Duodenum Injury Scale



十二指肠损伤分级



Grade*



等级


*



Description



说明



AIS-90



AIS - 90



I




Hematoma


血肿


Involving single portion of duodenum


涉及单部分十二指肠









2




Laceration


裂伤


Partial thickness, no perforation


偏厚,无穿孔







3




II




Hematoma


血肿


Involving more than one portion


涉及超过一个部分








2




Laceration


裂伤


Disruption <50% circumference


中断


<50

%的周长









4




III




Laceration


裂伤


Disruption 50-75% circumference of 2nd portion


第二部分中断


50-75


%的周长



4




Disruption 50-100% circumference of 1st, 3rd, 4th portion


第一,第三,第四部分中断

< p>
50-100


%的


周长






4




IV




Laceration


裂伤


Disruption >75% circumference of 2nd portion


第二部分中断


> 75


%的周长





5




Involving ampulla or distal common bile duct


涉及壶腹或远端胆总管









5




V




Laceration


裂伤


Massive


disruption


of


duodenopancreatic complex


大规 模中断


duodenopancreatic


复杂








5




V


ascular


血管


Devascularization of duodenum


断流十二指肠










5




* Advance one grade for multiple injuries up to grade III *


提前一级多处受伤三级



Pancreas Injury Scale



胰腺损伤分级



Grade*



等级


*



Description



说明



AIS-90



AIS - 90



I




Hematoma


血肿


Minor contusion without duct injury


无胆道损伤的轻微挫伤









2




Laceration


裂伤


Superficial laceration without duct injury


浅裂伤无胆道损伤









2




II




Hematoma


血肿


Major contusion without duct injury or tissue loss


无胆道损伤或组织损失的主要


挫伤







2




Laceration


裂伤


Major laceration without duct injury or tissue loss


无胆道损伤或组织损失的主要


裂伤







3




III




Laceration


裂伤


Distal


transection


or


parenchymal


/


duct


injury


远端横断或 实质


/


胆管损伤





3



IV




Laceration


裂伤


Proximal transection or parenchymal injury involving ampulla


涉及壶腹近端横断


或实质伤害









4




V




Laceration


裂伤


Massive disruption of pancreatic head


大规模破坏胰头









5




* Advance one grade for multiple injuries up to grade III *


提前一级多处受伤三级



7 7




Kidney Injury Scale



肾损伤分级



Grade*



等级


*



Description



说明



AIS-90



AIS - 90



I




Contusion


挫伤


Microscopic or gross hematuria


镜下或肉眼血尿








2




Hematoma


血肿


Subcapsular, nonexpanding without parenchymal laceration


包膜下,


没有实质裂伤


nonexpanding







2




II




Hematoma


血肿


Nonexpanding perirenal hematoma confined to renal retroperitoneum

< br>肾周血肿局限


于肾腹膜后







2



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