损伤控制性复苏对创伤性凝血障碍的影响

Effect of damage control resuscitation on traumatic coagulopathy

目的 在创伤早期即采用损伤控制性复苏（damage control resuscitation,DCR）理念,为改善创伤救治进行尝试.方法 2009~2012年我院急救中心收治的严重多发伤患者,86例采用DCR,56例仍按传统复苏方法进行救治.结果 DCR组的死亡率及并发症发生率均明显低于传统复苏组（P〈0.01）.结论 对于严重多发伤的患者,应积极实施DCR,可有效地缩短住院时间,减轻创伤应激,快速纠正创伤致死三联征,提高一期确定性手术率,降低严重多发伤病死率.

Objective Damage control resuscitation （DCR） is suited to solve this problem during the early treatment period of severe trauma. Methods A retrospective analysis was made on the clinical data with multiple injuries treated from 2009 to 2012. Eigty - six cases of severe multiple injuries were treated by DCR. Fifty - six cases were treated by traditional ways. Results The mortality and complication of DCR were significantly lower than those of traditional ways in the treatment of severe traumas wounded（P 〈 0.01 ）. Conclusion Cases of severe muhiple injuries should be treated by DCR actively. DCR can shorten the operating time, lessen the wound response, quickly correct the lethal triad of death, increase the rate of definite operation on first time and lower the mortality of severe multiple injuries.