求翻译,不要Google..不要百度有道...我要人工,有悬赏!
来源:学生作业帮 编辑:作业帮 分类:英语作业 时间:2024/07/08 02:42:18
求翻译,不要Google..不要百度有道...我要人工,有悬赏!
Abstract Objective: To investigate incidence, risk factors and outcome of Acinetobacter baumanii
infection in trauma patients. Design and setting: A retrospective analysis of prospectively collected data of all trauma patients admitted to a general intensive care unit (ICU) of a 1,500-bed university hospital over 3 years. Patients: Three hundred thirty trauma patients were included in the study. Results: Thirty-six (10.9%) cases of A. baumanii infection were observed; 29 of them were late onset pneumonia. Patients with A. baumanii infection had a significantly higher Injury Severity Score (ISS) (p = 0.02), a lower Glasgow Coma Scale (GCS) on ICU admission (p = 0.03), stayed longer in the ICU (p = 0.00001), were mechanically ventilated for a longer period of time (p = 0.00001), were more frequently admitted to the emergency department with hypotension (p = 0.02), and had trans-skeletal traction for more than 3 days (p = 0.003) in comparison to the 294 patients who did not develop A. baumanii infection. At multivariate analysis the time spent on mechanical ventilation (p = 0.02) and the presence of longterm trans-skeletal traction (p = 0.04) were the only independent risk factors for A. baumanii infection. Patients with A. baumanii infection had a high mortality rate (9 out of 36; 25.0%). ISS (p = 0.003), GCS (p = 0.001) and older age (p = 0.00001), but not A. baumanii infection (p = 0.15), were independently correlated with mortality. Conclusions: In trauma patients prolonged mechanical ventilation and delayed fracture fixation with the persistence of trans-skeletal traction were major risk factors for A.
baumanii infection. The presence of this infection was not correlated with mortality.
Abstract Objective: To investigate incidence, risk factors and outcome of Acinetobacter baumanii
infection in trauma patients. Design and setting: A retrospective analysis of prospectively collected data of all trauma patients admitted to a general intensive care unit (ICU) of a 1,500-bed university hospital over 3 years. Patients: Three hundred thirty trauma patients were included in the study. Results: Thirty-six (10.9%) cases of A. baumanii infection were observed; 29 of them were late onset pneumonia. Patients with A. baumanii infection had a significantly higher Injury Severity Score (ISS) (p = 0.02), a lower Glasgow Coma Scale (GCS) on ICU admission (p = 0.03), stayed longer in the ICU (p = 0.00001), were mechanically ventilated for a longer period of time (p = 0.00001), were more frequently admitted to the emergency department with hypotension (p = 0.02), and had trans-skeletal traction for more than 3 days (p = 0.003) in comparison to the 294 patients who did not develop A. baumanii infection. At multivariate analysis the time spent on mechanical ventilation (p = 0.02) and the presence of longterm trans-skeletal traction (p = 0.04) were the only independent risk factors for A. baumanii infection. Patients with A. baumanii infection had a high mortality rate (9 out of 36; 25.0%). ISS (p = 0.003), GCS (p = 0.001) and older age (p = 0.00001), but not A. baumanii infection (p = 0.15), were independently correlated with mortality. Conclusions: In trauma patients prolonged mechanical ventilation and delayed fracture fixation with the persistence of trans-skeletal traction were major risk factors for A.
baumanii infection. The presence of this infection was not correlated with mortality.
目标:调查不动细菌属鲍曼不动杆菌感染在外伤病人中的发生率、危险因素和感染后果.
设计和背景:对大学医院一般加护病房三年来收治的1500名外伤病人的资料做回顾分析.
病人:研究共包括330名外伤病人.
结果:36名(10.9%)患者感染A型鲍曼不动杆菌;其中29人随后患了肺炎.
同未感染A性鲍曼不动杆菌的294名患者相比,这36名患者的损伤严重度极高(ISS)(p=0.02),Glasgow昏迷等级较低,在加护病房的时间更长,机械通气时间更长,经常因血压过低被送进急诊部,超过3天都做了经骨骼的牵引.经多元分析发现,机械通气时间和长期的骨骼牵引是导致A型鲍曼不动杆菌感染的主要独立危险因素.感染A型鲍曼不动杆菌的病人死亡率很高(36人中有9人死亡,25.0%).与死亡率独立相关的是损伤严重度,Glasgow昏迷等级和年老,而不是鲍曼不动杆菌感染.
结论:长期的机械通气和延误的骨骼固定术,加之长时间的骨骼牵引,是导致A型鲍曼不动杆菌感染的主要危险因素.感染这种细菌不会导致死亡.
我不是学医的,有些专业词汇可能有问题,lz自己衡量吧
设计和背景:对大学医院一般加护病房三年来收治的1500名外伤病人的资料做回顾分析.
病人:研究共包括330名外伤病人.
结果:36名(10.9%)患者感染A型鲍曼不动杆菌;其中29人随后患了肺炎.
同未感染A性鲍曼不动杆菌的294名患者相比,这36名患者的损伤严重度极高(ISS)(p=0.02),Glasgow昏迷等级较低,在加护病房的时间更长,机械通气时间更长,经常因血压过低被送进急诊部,超过3天都做了经骨骼的牵引.经多元分析发现,机械通气时间和长期的骨骼牵引是导致A型鲍曼不动杆菌感染的主要独立危险因素.感染A型鲍曼不动杆菌的病人死亡率很高(36人中有9人死亡,25.0%).与死亡率独立相关的是损伤严重度,Glasgow昏迷等级和年老,而不是鲍曼不动杆菌感染.
结论:长期的机械通气和延误的骨骼固定术,加之长时间的骨骼牵引,是导致A型鲍曼不动杆菌感染的主要危险因素.感染这种细菌不会导致死亡.
我不是学医的,有些专业词汇可能有问题,lz自己衡量吧
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