摘要
目的总结损伤控制性手术(DCS)在非创伤腹部外科危急重症中的应用效果及护理重点。方法回顾性分析71例行DCS患者(DCS组)和35例行传统手术患者(传统组)的临床资料,对2组患者术后体温(T)、pH值、凝血酶原时间(PT)、激活部分凝血酶原时间(APTT)、术后并发症发生率和病死率进行比较。结果 2组患者术后pH、PT、APTT比较差异有统计学意义(P<0.05);DCS组术后并发症发生率及病死率明显低于传统组,差异均有统计学意义(P<0.05)。结论 DCS的合理应用及护理能有效降低危重患者术后并发症和病死率,明确护理重点是患者成功实施DCS的保证。
Objective To summarize the the application effect and nursing key of damage controlling surgery(DCS) in non-trauma abdominal surgical emergency case.Methods Retrospective analyzed the clinical data of 71 cases patients accepted DCS(DCS group) and 35 cases patients accepted the traditional surgery(traditional group) ,compared the temperature(T) ,pH value,prothrombin time(PT) ,activate part prothrombin time(APTT) and postoperative complication rate and mortality of 2 groups.Results Compared the level of pH,PT,APTT of 2 groups,there had significant difference(P<0.05) ;The postoperative complication rate and mortality of DCS group were lower than that of traditional group,there had significant difference(P<0.05) .Conclusion The reasonable application of DCS and nursing can effectively reduce the critically ill patients with postoperative complication and mortality,above nursing measures is successful implementation of the guarantee of patients with DCS.
出处
《临床合理用药杂志》
2012年第7期30-31,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
损伤控制性手术
非创伤危急重症
护理
Damage controlling surgery
Non-trauma abdominal surgical emergency case
Nursing
