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传统上人们将全身炎症反应综合征(SIRS)的病因归于感染,但是美国胸科医师学院和危重医学会联合会议注意到没有感染因素的SIRS发病率明显上升,这促使他们提出了更为精确的定义。为了对危重创伤但不伴头部损伤的病人在入ICU 24h内进一步作出严重的SIRS和非感染性休克的定义,并明确它们与损伤机制、APACHEⅡ评分、死亡危险性、损伤严重度(ISS)、衰竭器官数目、死亡率的关系,南非纳特医学院伦理协会在Durban的爱德华国王八世医院外科ICU对450例危重创伤病人进行前瞻性整体分析,其中穿透伤占70％(枪伤202例,刀伤113例),非穿透伤占了30％(机动车交通
Traditionally, the cause of systemic inflammatory response syndrome (SIRS) has been attributed to infection, but the meeting between the American College of Chest Physicians and the Society for Critical Care Medicine noted a significant rise in the incidence of SIRS without infection, prompting them to come up with more precise definition. To define critically ill SIRS and non-septic shock in critically ill traumatic but non-head injury patients within 24 h of admission to ICU, and to determine their association with injury mechanisms, APACHE II score, risk of death, severity of injury (ISS) , The number of failing organs, and mortality. A prospective, holistic analysis of 450 critically ill traumatic patients was carried out in Surgical ICU, King Edward VIII Hospital Durham, South Africa, of which 70% were penetrating wounds (gunshot wound 202 Cases, 113 cases of wounds), non-penetrating wounds accounted for 30% (motor vehicle traffic