损伤控制外科理论在腹部外科择期手术中的应用

Damage control surgery in selective abdominal operation

目的:观察损伤控制外科(DCS)理论在腹部外科择期手术中的应用结果。方法:2例腹部巨大包块择期手术患者,第1例术中出现难以控制的出血后,应用DCS理论进行治疗;第2例术前根据DCS理论制订了手术方案,并在术中实施。结果:2例患者的治疗均获得成功。尤其第2例患者术后恢复较平稳。结论:腹部外科择期手术患者,若术中可能出现引起生命危险的情况,应根据DCS理论制定手术方案及处理术中出现的危险。

Objective：To observe the applications of damage control surgery （DCS） theory in selective abdominal operations. Methods：Two patients suffered from abdominal huge tumour were included in this clinical observation. DCS method was used in the first case when uncontrollable haemorrhage happened in the operation. In the second case, the DCS method was planed before operation. Results： Both the two patients were healed. The second one had no dangerous states after operation. Conclusion：In selective abdominal operation, perioperative DCS method should be considered if some life- threatening risks may happen in the operative procedure.