损伤控制外科在创伤急救中的应用

Application of damage control surgery in emergency of severe traumas

目的探讨损伤控制(DCS)在创伤急救中的应用效果。方法对1996年6月～2011年9月的152例多发伤的临床资料进行回顾性分析,其中85例应用DCS救治,67例仍按传统方法救治。结果传统组的死亡率及并发症发生率均显著高于DCS组(P<0.01)。结论对严重创伤患者,在复苏同时应尽快采用简单省时的控制性手术,病情稳定后再做相应的手术和治疗,可提高创伤抢救的成功率。

Objective To study the effect of Damage Control Surgery（DCS） in the treatment of severe traumas. Methods A retrospective analysis was made on the clinical data of 152 cases with multiple injuries treated by DCS form 1996 to 2011. Eigty-five cases of severe multiple injury were treated by Damage Control Surgery. Sixty-seven cases were treated by traditional ways. Results The mortality and complication of the Damage Control Surgery （DCS） were significantly lower than traditional in the treatment of severe traumas wounded （P 〈 0.01 ）. Conclusion The successful operative Damage Control Surgery in the treatment of severe traumas while resuscitation and definitive operation performed will contribute a lot to a high curative rate.