不同创伤评分系统在爆炸伤伤情评估中的比较

康建毅; 段朝霞; 张洁元; 张东冬

doi:10.16016/j.1000-5404.201901142

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不同创伤评分系统在爆炸伤伤情评估中的比较

军事医学 | 更新时间：2026-01-09

- 不同创伤评分系统在爆炸伤伤情评估中的比较
- Application of different trauma scoring systems for evaluation of severity of blast injuries
- 第三军医大学学报 2019年41卷第15期页码：1403-1406
- 作者机构：
- 作者简介：
- 基金信息：
  
  国家重点研究发展计划(2017YFC0822304)
- DOI：10.16016/j.1000-5404.201901142
  中图分类号：
- 收稿：2019-01-17，
  
  纸质出版：2019-08-15
- 稿件说明：
移动端阅览
康建毅, 段朝霞, 张洁元, 等. 不同创伤评分系统在爆炸伤伤情评估中的比较[J]. 第三军医大学学报, 2019,41(15):1403-1406.

Jianyi KANG, Zhaoxia DUAN, Jieyuan ZHANG, et al. Application of different trauma scoring systems for evaluation of severity of blast injuries[J]. Journal of Third Military Medical University, 2019, 41(15): 1403-1406.
康建毅, 段朝霞, 张洁元, 等. 不同创伤评分系统在爆炸伤伤情评估中的比较[J]. 第三军医大学学报, 2019,41(15):1403-1406. DOI： 10.16016/j.1000-5404.201901142.

Jianyi KANG, Zhaoxia DUAN, Jieyuan ZHANG, et al. Application of different trauma scoring systems for evaluation of severity of blast injuries[J]. Journal of Third Military Medical University, 2019, 41(15): 1403-1406. DOI： 10.16016/j.1000-5404.201901142.

摘要

Abstract

Objective

To assess the performance of different trauma scoring systems for evaluating the severity of blast injuries.

Methods

Twenty-eight rabbits were exposed to blast injuries induced by explosion in an open field. The Abbreviated Injury Scale (AIS) and Adjusted Injury of Severity Index (ASⅡ) scoring system were compared for their performance in the evaluation of the injuries.

Results

The distance from the explosion significantly affected the ASⅡ score (

0.001) and both the Injury Severity Score (ISS;

=0.046) and the Maximal Abbreviated Injury Scale score (MAIS;

=0.010 6) in AIS. With the increase in the distance from the explosion

ASⅡ scores showed the highest variation rate (80.0%)

followed by ISS (73.6%) and then by MAIS score (54.5%). The correlation coefficients of ASⅡ

MAIS and ISS scores with the distance from the explosion were 0.788 6 (

0.001)

0.607 2 (

0.001) and 0.566 4 (

=0.001 7)

respectively

suggesting that ASⅡ scores has the best correlation with the distance of explosion

followed by MAIS score and ISS score.

Conclusion

The ASⅡ scoring system allows effective evaluation of the condition and severity of blast injuries and is more suitable for assessing the biological effects of explosions.

关键词

Keywords

references

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