损伤控制外科技术在多发伤中的应用研究

CLINICAL STUDY ON DAMAGE CONTROL SURGERY IN MULTIPLE INJURY

目的探讨在多发伤中运用损伤控制外科原则抢救病人的临床效果。方法对1997年1月～2005年10月19例多发伤病人采取损伤控制的效果进行回顾性分析。选出病情严重程度一致，以传统方式抢救的病人17例。比较两组病人体温恢复时间，乳酸清除时间，弥漫性血管内凝血（DIC）的发病率与死亡率。结果治疗组体温恢复时间、乳酸清除时间要短，DIC的发病率死亡率要低，其差异具有显著性意义。结论在多发伤中运用损伤控制能明显提高严重创伤的生存率，应作为多发伤处理广泛遵守的原则。

Objective To explore the therapeutical effect of damage control surgery for multiple injury. Methods 19 patients （treat group） with multiple injury were received damage control surgery. Other 17 patients （control group） with similar clinical characteristics treated with conventional therapy. They were retrospectively analyzed from January 1997 to October 2005. Compared with recovery time of body temperature, clearance time of lactic acid, incidence of diffuse intravascular coagulation （DIC） and mortality in two groups. Results The recovery time of body temperature and clearance time of lactic acid in treat group were shorter than these in control group. Incidence of DIC and mortality in treat group were less than these in control group. There were significant differences in two groups. Conclusion Damage control surgery can improve therapeutic efficacy of patients with multiple injury.