Changes of rSIG shock index,initial blood lactic acid and D-D in emergency multiple injuries
Objective To investigate and analyze the changes of rSIG shock index,initial blood lactic acid and D-dimer(D-D)in emergency multiple injuries.Methods The medical records of 68 patients with emergency multiple injuries admitted to our hospital from June 2021 to July 2023 were analyzed,according to the treatment outcome,7 cases were divided into the death group and 61 cases were divided into the survival group.68 patients with acute multiple injuries were classified according to the Injury Severity Score(ISS),in which there were 55 cases in the mild-to-mod-erate injury group(ISS≤25),13 cases in the severe injury group(ISS＞25).The changes of rSIG shock index,initial blood lactate,and D-D levels were compared.The correlation between rSIG shock index,initial blood lactate,and D-dimer levels in emergency multiple injury patients and their progno-sis and severity of injury was analyzed with Pearson correlation analysis.Results The rSIG shock index,initial blood lactate and D-D levels of pa-tients in the death group were significantly higher than those in the survival group(P＜0.05).The rSIG shock index,initial blood lactate and D dimer levels of patients in the severely injured group were significantly higher than those in the mildly and moderately injured group(P＜0.05).The results of the Pearson's correlation analysis showed that the rSIG shock index of the emergency multiple injuries,the initial blood lactate and D-D levels were positively correlated with both prognosis and injury severity(P＜0.05).Conclusion The rSIG shock index,initial blood lactate and D-D changes are all closely related to the risk of death and poor prognosis of patients with acute multiple injuries.In emergency treatment,monitoring these indexes can provide an important reference for doctors,which can help to assess the patient's condition and prognosis,and thus develop a more reasonable treatment plan.
NETL
NSTL
万方数据
维普
