摘要
创伤尤其是严重创伤,已经成为当今世界公共的健康问题。随着损害控制外科(damage controlsurgery,DCS)的广泛应用,严重创伤患者院内存活时间延长,但仍面临腹腔间隙室综合征(abdominal compartment syndrome,ACS)等并发症的威胁,损害控制性剖腹术(damage control laparotomy,DCL)后遗留的开放性急、慢性腹部伤口已经成为创伤外科面临的新的挑战。作为DCL的一部分,标准三阶段治疗技术是治疗腹部伤口的主要方法,包括第一阶段:植入假体;第二阶段:计划性腹疝;第三阶段:腹壁的确定性重建。
Severe traumatic injury is a public health care problem,accounting for 12% of the global mortality. As damage control surgery （DCS） has been widely applied in trauma, it has prolonged survival time in the critically injured patients, but the complications, such as abdominal compartment syndrome （ ACS ） , are recognized as a major cause of morbidity and mortality. Referring to management techniques, the fundamental issues are acute and chronic wound management of damage control laparotomy （ DCL ）. As a part of DCL, a fairly standardized staged approach for abdominal wound has been developed. The three stages are prosthetic insertion, split-thickness skin grafting for a ＂planned ventral hernia＂, definitive reconstruction respectively.
出处
《创伤外科杂志》
2009年第1期94-96,共3页
Journal of Traumatic Surgery
关键词
损害控制
剖腹术
伤口处理
damage control
laparotomy
wound management
