MESS 肢体损伤严重程度评分 mangled extremity severity Score
2010-01-24 08:30阅读:
- from Johansen et.al. 1990)
Skeletal / soft-tissue injury 骨骼软组织损伤情况
低能量 Low energy (stab; simple
fracture; pistol gunshot wound): 1
中能量 Medium energy (open or multiple
fractures, dislocation): 2
高能量 High energy (high speed MVA or rifle
GSW): 3
极高能量 Very high energy (high speed trauma +
gross contamination): 4
Limb ischemia 肢体局部缺血(超过6小时分数加倍)
脉搏微弱 灌注正常 Pulse reduced or absent but
perfusion normal: 1*
无脉 毛细血管充盈时间延长 感觉障碍 Pulseless; paresthesias,
diminished capillary refill: 2
无脉 凉 麻痹 无感觉 麻木 Cool, paralyz