The Condition and Prognosis of Patients with Traumatic Splenic Rupture Estimated with Hemorrhagic Volume, Hemorrhagic Speed and Synthetic Hemorrhagic Index

Objective To determine the effects of hemorrhagic volume (HV) and hemorrhagic speed (HS) on perioperative decompensational shock (PODS) in the patients with traumatic rupture of the spleen and to find an objective index to evaluate the patient's condition and prognosis. Methods HS was obtained according to preoperative time and HV. The common logarithmic values of both HS and HV were calculated. The product of two relevant common logarithmic values was defined as synthetic hemorrhagic index (SHI). Then, the relationships between HS, HV or SHI and PODS were determined, respectively. The relationship between HS and the types of traumatic rupture of the spleen was also explored. Results Distribution differences of PODS among groups of HS, HV or SHI were all significant statistically (P0.05-0.01). The relationship between HS and the types of traumatic rupture of the spleen was intimate (P0.05 or near 0.05). Conclusions HS has an important effect on the occurrence of PODS, and relates closely to the types of traumatic rupture of the spleen as well. SHI makes both parameters of HS and HV integrated, by which we can estimate the condition of the patients exactly and objectively. It is not only convenient to make contrast among groups and individuals but also beneficial to guide diagnosis and treatment for the patients.