多科室协作之损伤控制在手术室的环节与评价

The process analysis and appraisal of the damage controls with multi-departments cooperatel in the operating room

目的美国宾夕法尼亚大学的创伤治疗小组Rotondo等于1993年完善和明确了“损伤控制（Damage Control. DC）”的理念。近年来创伤外科、SICU和各种先进的生命支持治疗技术和医学工程技术的创新与突破，在对严重创伤外科的治疗原则方面，实施（损伤控制外科）DCS救治宗旨。方法在手术室护理这一环节主要体现在“以人为本”整体护理模式。结果将重症创伤患者死亡率从90％降低到37．5％。结论多科室协作对DCS在手术室的环节与评价，围绕着成功救治重症创伤病人的生命而进行。

Objective Treatment of trauma group Rotondo, etc. in the University of Pennsylvania completed and defined the concept of ＂Damage Control. DC＂in 1993. Due to the innovation and breakthrough of the traumatology, SICU, and the various technique of Life Support Treatment and advanced Medical Engineering in recent years, DCS is implemented on the treatment purpose of Severe Trauma Surgery. Methods The Operating Room Nursing is mainly reflected on ＂ Human-oriented＂ nursing model. Results The mortality rate in Severe Trauma Patients is reduced from 90% to 37.5%. Conclusions The process analysis and evaluation of the multi-department cooperation of DCS in the Operating Room is carried out, according to the successful treatments on Severe Trauma Patients.