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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
ed, insensate, numb: 3*
Shock 休克
血压> 90 mm Hg Systolic BP always > 90 mm Hg: 0
暂时性低血压 Hypotensive transiently: 1
持续低血压 Persistent hypotension: 2
Age (years) 年龄
< 30: 0
30-50: 1
> 50: 2
* Score doubled for ischemia > 6 hours
MESS大于等于7分需要早期或晚期截肢
【参考资源】
1.http://www.wheelessonline.com/ortho/mangled_extremity_severity_score_mess
2.http://keyjournal.nstl.gov.cn/bitstream/123456789/
3.http://www.rcsed.ac.uk/fellows/lvanrensburg/classification/trauma%20scores/mangled_extremity_scores.htm

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