损伤控制性外科在腹部血管性急症中的应用

Damage control surgery for abdominal vascular emergencies

目的:探讨损伤控制性外科在腹部血管性急症中的临床价值。方法:回顾性分析2009-08—2016-12期间,采用损伤控制性外科原则治疗26例腹部血管性急症的情况。结果:26例患者均经损伤控制性手术治疗。手术成功率96.2%(25/26),围手术期死亡率3.8%(1/26)。随访2～74个月(平均21.5个月),随访率92%(23/25),随访死亡率4.3%(1/23)。结论:及时、准确地诊断腹部血管性急症,迅速、有效地止血,在手术中贯彻损伤控制性外科原则是成功救治腹部血管性急症的关键。

Objective:To evaluate the outcome of damage control surgery(DCS)in patients with abdominal vascular emergencies.Method:From August 2009 to December 2016,clinical data of 26 cases of abdominal vascular emergencies treated with DCS were analyzed retrospectively.Result:All patients in this group were subjected to staged damage control approach.The surgical success rate was 96.2%(25/26).The postoperative mortality was3.8%(1/26).The average follow-up time was 2 to 74 months with a mean of 21.5 months.The follow-up rate was92%(23/25).The mortality was 4.3%(1/23).Conclusion:Timely and accurate judgment of abdominal vascular disorders,precise and effective measures for hemostasis,and the implementation of DCS are the keys to successful treatment of patients with abdominal vascular emergencies.