损伤控制外科在严重腹部创伤中的应用

Damage control surgery in severe abdominal trauma

目的 探讨损伤控制外科（damage control surgery,DCS）在严重腹部创伤中的应用.方法 回顾性分析泰州市人民医院普外科2011年1月至2013年1月采用DCS原则（初始简化手术、液体复苏和确定性手术）救治56例严重腹部创伤患者的临床资料.入院后迅速控制出血和污染临时关闭腹腔等简单快速手术经ICU复苏待生命体征稳定后再实施确定性手术.结果 56例患者经过积极治疗,其中52例痊愈出院,治愈率达92.9％;死亡4例.结论 应用DSC理念救治严重腹部创伤,能有效提高临床治愈率.

Objective To investigate the utilization of damage control surgery （DCS） in treatment of the severe abdominal traumas.Methods The clinical data of 56 patients with severe abdominal traumas treated by DCS （Emergency operation,fluid resuscitation and definitive operation were used gradually.）from January 2011 to January 2013 in Department of General Surgery,Taizhou People＆#39;s Hospital were retrospectively analyzed.Results Of the 56 patients,52 were cured and discharged from hospital,the clinical curative rate was 92.9%; 4 patients dead.Conclusions Abdominal traumas under going operations by applying the damage control surgery significantly increased the clinical curative rate.