损伤控制骨科技术在骨折合并严重多发伤中的应用进展

Advances in the application of damage control orthopaedics in the fractures with severe multiple injuries

随着交通意外、突发灾难及安全性事故发生的逐年增多,伤者往往会发生骨折合并严重多发伤,如何最大限度地救治伤者以提高生存率,这是现如今骨科医师面临的重要问题。近年来损伤控制骨科(damage control orthopaedics,DCO)技术已逐渐发展,DCO的目的是控制患者的原发损伤,防止病情的进一步恶化,相较传统的治疗方法,能够有效降低二次打击和并发症的发生,利于患者的恢复。本文从DCO理念的形成、DCO的理论依据、DCO的适应证、DCO的实施步骤和最佳时机、DCO技术在骨折合并严重多发伤中的应用以及DCO应用前景展望等相关研究进展进行综述。

With the traffic accident, sudden disaster and safety accidents occur year after year, the injured patients often complicated with multiple injuries, how to maximize the treatment of the injury to improve the survival rate, is an important problem faced by orthopedic surgeons.In recent years, damage control orthopaedics (DCO) technology has been gradually developed, DCO aims to control the patients' primary injury, to prevent further deterioration of the disease, compared with the traditional treatment, it can effectively reduce the second strike and complications, is conducive to the recovery of patients.In this paper, the development of DCO concept, the theoretical basis of DCO, the adaptation of DCO, the implementation steps of DCO and the best time, the application of DCO in the treatment of severe multiple injuries and the prospect of DCO application are reviewed.