Ten-year retrospective analysis of multiple trauma complicated by pulmonary contusion

Hui Jin; Li-Qun Tang; Zhi-Guo Pan; Na Peng; Qiang Wen; You-Qing Tang; Lei Su

doi:10.1186/2054-9369-1-7

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Ten-year retrospective analysis of multiple trauma complicated by pulmonary contusion

RESEARCH | Updated：2026-03-12

- Ten-year retrospective analysis of multiple trauma complicated by pulmonary contusion
- Ten-year retrospective analysis of multiple trauma complicated by pulmonary contusion
- MMR 2014年1卷第1期页码：51-58
- Affiliations：
  
  Intensive Care Unit, General Hospital of Guangzhou Military Command, Guangzhou 510000, China
- Author bio：
  
  *: slei_icu@163.com
- Funds：
- DOI：10.1186/2054-9369-1-7
  中图分类号：
- 纸质出版：2014-03
- Accepted：
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Ten-year retrospective analysis of multiple trauma complicated by pulmonary contusion[J]. MMR, 2014,1(1):51-58.

Jin et al.: Ten-Year retrospective analysis of multiple trauma complicated by pulmonary contusion. Military Medical Research 2014, 1: 7
Ten-year retrospective analysis of multiple trauma complicated by pulmonary contusion[J]. MMR, 2014,1(1):51-58. DOI： 10.1186/2054-9369-1-7.

Jin et al.: Ten-Year retrospective analysis of multiple trauma complicated by pulmonary contusion. Military Medical Research 2014, 1: 7 DOI： 10.1186/2054-9369-1-7.

摘要

Abstract

Background:

This study reports a 10-year retrospective analysis of multiple trauma complicated by pulmonary contusion. The purpose of this study is to ascertain the risk factors for mortality due to trauma in patients with pulmonary contusion

the impact of various treatment options for prognosis

and the risk factors for concurrent Acute Respiratory Distress Syndrome (ARDS).

Methods:

We retrospectively analyzed 252 trauma patients with lung contusion admitted to the General Hospital of Guangzhou Military Command from January 2000 to June 2011 by using the statistical processing system SPSS 17.0 for Windows.

Results:

We included 252 patients in our study

including 214 males and 38 females. The average age was 37.1±14.9 years. There were 110 cases admitted to the ICU

of which 26 cases with ARDS. Nine of the 252 patients died. We compared those who survived with those who died by gender and age

the difference was not statistically significant (

=0.199

=0.200). Separate univariate analysis of those who died and those who survived found that shock on admission (

=0.000)

coagulation disorders (

=0.000)

gastrointestinal bleeding (

=0.02)

the need for emergency surgery on admission (

=0.000)

pre-hospital intubation (

=0.000)

blood transfusion within 24 hours (

=0.006)

the use of mechanical ventilation (

=0.000)

and concurrent ARDS (

=0.000) are poor prognosis risk factors. Further logistic analysis

including the admission GCS score (

=0.708

95%CI 0.516-0.971

=0.032)

ISS score (

1.135

95%CI 1.006-1.280

=0.039)

and concurrent ARDS (

=15.814

95%CI 1.819-137.480

=0.012)

identified the GCS score

ISS score and concurrent ARDS as independent risk factors of poor prognosis. Shock (

=9.121

95%CI 0.857-97.060

=0.067) was also related to poor prognosis. Patients with injury factors such as road accident

falling injury

blunt injury and crush injury

et al

=0.039)

infection (

=0.005)

shock (

=0.004)

coagulation disorders (

=0.006)

emergency surgery (

=0.01)

pre-hospital intubation (

=0.000)

chest tube insertion (

=0.004)

blood transfusion (

=0.000)

usage of hormones (

=0.002)

phlegm (

=0.000)

ventilation (

=0.000) were at a significantly increased risk for ARDS complications.

Conclusions:

Those patients with multiple trauma and pulmonary contusion admitted to the hospital with shock

coagulopathy

a need for emergency surgery

pre-hospital intubation

and a need for mechanical ventilation could have a significantly increased risk of mortality and ARDS incidence. A risk for poor prognosis was associated with gastrointestinal bleeding. A high ISS score

high APACHE Ⅱ

and low GCS score were independent risk factors for poor prognosis. If patients developed an infection or were given drainage

hormones

and phlegm treatment

they were at higher risk of ARDS. Pre-hospital intubation and drainage were independent risk factors for ARDS. In patients with ARDS

the ICU stay

total length of stay

and hospital costs might increase significantly. A GCS score<5.5

APACHE Ⅱ score>16.5

and ISS score>20.5 could be considered indicators of poor prognosis for patients with multiple trauma and lung contusion.

关键词

Keywords

references

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