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损伤控制外科手术治疗严重腹部创伤的临床研究 被引量:17

Clinical Study on Damage Control Surgery Operation in Treating Severe Abdominal Trauma
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摘要 目的:探讨损伤控制外科手术治疗严重腹部创伤的临床效果。方法:设立DCS组(52例),对照组(45例),两组均为严重腹部创伤患者,DCS组采用DCS手术治疗,对照组常规确定性手术后ICU复苏治疗,比较两组的死亡率和总并发症发生率。结果:对照组、DCS组死亡率分别为37.8%、13.5%,比较差异有统计学意义(P<0.05);对照组、DCS组总并发症发生率分别为71.1%、34.6%,比较差异有统计学意义(P<0.05)。结论:合适DCS治疗方式能有效降低严重腹部创伤患者的死亡率和总并发症的几率。 Objective: To discuss clinical effect of damage control surgery operation in treating severe abdominal trauma.Method: We set up group DCS ( 52 cases ) and group control ( 45 cases ), two groups were all severe abdominal trauma patients.Group DCS was treated with DCS concept and group control was treated by conventional deterministic operation and ICU recoved after treatment.Result: The mortality rates of group control and group DCS were respectively 37.8%, 13.5%, the difference was statistically significant ( P〈0.05 ) .Total complication rates of group control and group DCS were respectively 71.1% and 34.6%, the difference was statistically significant ( P〈0.05 ) .Conclusion: Suitable DCS treatment can effectively reduce the mortality rate of patients with severe abdominal trauma and the probability of total complications.
作者 文致来
出处 《中国医学创新》 CAS 2013年第3期55-57,共3页 Medical Innovation of China
关键词 损伤控制 严重腹部创伤 三联征 ICU复苏 Damage control Severe abdominal trauma Triad ICU recovery
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