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损伤控制外科理念在严重多发伤救治中的临床应用 预览 被引量:10

Clinical Application of Damage Control Surgery in Treatment of Severe Multiple Injuries
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摘要 目的 研究损伤控制外科(DCS)理念在急诊外科多发伤救治中的临床应用效果,以期提高临床危重创伤患者的救治效率。方法 选取60例严重多发伤患者,其中应用DCS方法救治严重多发伤患者30例为DCS组,以传统方式抢救的病情严重程度一致患者30例作为对照组。比较2组体温恢复时间、休克纠正时间、凝血酶原时间(PT)恢复时间、住院时间及并发症发生率。结果 56例(96.7%)治愈出院,其中DCS组死亡1例(3.3%),对照组死亡3例(10%);DCS组发生并发症6例(5%),对照组发生并发症15例(50.0%)。DCS组病死率及并发症发生率均低于对照组(均P〈0.05)。DCS组体温恢复时间、休克纠正时间、PT恢复时间及住院时间均较对照组明显缩短(均P〈0.05)。结论 DCS理念应用于急诊外科抢救严重多发伤患者是可行的,能有效减少病死率及并发症,缩短住院时间。 Objective To research the clinical application of damage control surgery (DCS) concept in emergency surgical treatment of multiple trauma, and to improve the efficiency of clinical treatment of severe trauma. Methods Sixty patients with severe multiple trauma were assigned to received either DCS(DCS group, n: 30) or traditional rescue therapy(control group,n=30). Temperature recovery time, shock redress time, prothrombin time (PT) recovery time, hospital stay, and incidence of complications were compared between the two groups. Results Among the 60 patients, 56 (96. 7%) were cured and discharged from hospital. In DCS group, 1 patient(3.3%) died and 6 patients(5%) had complications. In control group,3 patients(10%) died and 15 patients(50.0%) had complications. Compared with control group, mortality rate and incidence of complications were reduced, and temperature recovery time, shock redress time, PT recovery time and hospital stay were shortened in DCS group (P〈0. 05). Conclusion DCS concept is feasible for emergency surgical treatment of severe multiple trauma, and can effectively reduce the mortality, complications and hospital stay.
作者 檀占海 朱光辉 陈建荣 周联明 杨治 张吉发 张学利 单远洲 TAN Zhan-hai, ZHU Guang-hui,CHEN Jian-rong, ZHOU Lian-ming, YANG Zhi, ZHANG Ji-fa, ZHANG Xue-li, SHAN Yuan-zhou (Department of General Surgery, South Hospital of the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Central Hospital of Shanghai Fengxian District, Shanghai 201499 ,China)
出处 《南昌大学学报:医学版》 CAS 2016年第5期60-62,80共4页 Acta Academiae Medicinae Jiangxi
关键词 损伤控制外科 多发伤 抢救 damage control surgery multiple trauma emergency treatment
作者简介 檀占海(1979-),男,硕士,主治医师,主要从事肝胆胰疾病的研究。 通信作者:单远洲,主任医师,E-mail:gzy653@126.com。
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