摘要
目的 研究严重多发伤合并腹部创伤行损伤控制性外科技术治疗的可行性。方法选取我院2014年5月~2016年5月收治的严重多发伤合并腹部创伤患者80例,依据患者意愿及治疗方法将这些患者分为损伤控制性外科技术治疗组(DCS组,n=40)和早期全面治疗组(ETC组,n=40)两组,对两组患者的乳酸清除时间、体温、凝血酶原恢复时间、输血量、住院时间、术后并发症发生情况及死亡情况进行统计分析。结果 DCS组患者的乳酸清除时间、体温、凝血酶原恢复时间、住院时间均显著短于ETC组(P<0.05),输血量显著少于ETC组(P<0.05),术后并发症发生率、死亡率17.5%(7/40)、7.5%(3/40)均显著低于ETC组27.5%(11/40)、30.0%(12/40)(P<0.05)。结论严重多发伤合并腹部创伤行损伤控制性外科技术治疗较早期全面治疗具有较高的可行性,值得在临床推广使用。
Objective To study the feasibility of damage control surgical technique in the treatment of severe multiple injuries complicated with abdominal trauma. Methods 80 patients with severe multiple injuries complicated with ab- dominal trauma who were admitted to our hospital from May 2014 to May 2016 were selected. According to the pa- tients＇ willingness and treatment methods, the patients were assigned to the damage control surgical technique group （DCS group, n=40） and early comprehensive treatment group（ETC group, n=40）. Lactic acid elimination time, body tem- perature, prothrombin recovery time, volume of blood transfusion, length of stay, postoperative complications and deaths were statistically analyzed in both group. Results The lactic acid elimination time, body temperature, prothrombin re covery time and length of stay in the DCS group were significantly shorter or lower than those in the ETC group （P〈 0.05）. The volume of blood transfusion was significantly lower than that in the ETC group（P〈0.05）. The incidence rate of postoperative complications and mortality rate [17.5% （7/40）, 7.5% （3/40）] were both significantly lower than those in the ETC group [27.5% （11/40）, 30.0% （12/40）] （P〈0.05）. Conclusion Damage control surgical technique in the treatment of severe multiple injuries complicated with abdominal trauma has a higher feasibility than the early comprehensive treatment, which is worthy of clinical promotion and application.
出处
《中国现代医生》
2017年第22期49-52,共4页
China Modern Doctor
关键词
严重多发伤
腹部创伤
损伤控制性外科技术
可行性
Severe multiple injuries
Abdominal trauma
Damage control surgical technique
Feasibility
