损伤控制外科技术在急诊外科多发伤救治中的应用

Application of Damage Control Surgery in the Treatment of Multiple Injuries in the Emergency Surgery

目的:探讨损伤控制外科技术(DCS)在急诊外科多发伤救治中的临床应用效果。方法:60例多发损伤患者随机分为实验组和对照组,各30例,实验组采用DCS,对照组采用传统方式救治,对比两组患者的手术持续时间、出血量、体温的恢复时间、弥散性血管内凝血(DIC)的发生率、救治成功率和死亡率的差异,分析两组患者的治疗效果。结果:实验组患者的出血量、体温的恢复时间、乳酸恢复时间、ATT、PT恢复时间均显著低于对照组(P<0.05)。两组患者的手术时间比较差异无显著性(P>0.05)。实验组的DIC的发生率、并发症发生情况、死亡率均显著低于对照组(P<0.05)。结论:对于多发伤患者,采用DCS,可提高临床治疗效果和救治成功率,减少并发症,降低死亡率。

Objective： To investigate the clinical application of damage control surgery（DCS） in the treatment of multiple injuries in the emergency surgery.Methods： 60 cases of multiple injury patients were randomly divided into experimental group and control group,30 cases in each.The experimental group using DCS,the control group using the traditional treatment methods,compared two groups of patients with operation time,blood loss,temperature recovery time,diffuse intravascular coagulation（DIC） the incidence,treatment success rate and mortality differences.Analysis the therapeutic effect of two groups of patients.Results： Patients in the experimental group bleeding volume,body temperature recovery time,lactic acid recovery time,ATT,Pt recovery time were significantly lower than those of the control group（P〈0.05）.There was no significant difference（P〈0.05） between the two groups of patients at the time of surgery.The incidence of DIC in the experimental group,the incidence of complications and mortality were significantly lower than those in the control group（P〈0.05）.Conclusion： For multiple trauma patients,using DCS,can improve the clinical treatment effect and treatment success rate,reduce complications,reduce the mortality rate.