基于损伤控制策略的严重多发伤救治模型的临床应用研究

Clinical application of severe multiple trauma treatment model based on damage control strategy

目的探讨损伤控制策略在严重多发伤救治中的临床应用。方法探索在一体化创伤急救模式下,采用以ICU为主导的损伤控制策略等对严重多发伤进行整体化治疗。结果 2008年12月至2018年12月期间,同济大学附属东方医院急诊医学部共对789例严重多发伤实施损伤控制策略救治,死亡69例,抢救成功率为91.25%。结论在一体化的创伤急救模式下,采取基于损伤控制策略的严重多发伤救治,突出ICU医生的主导作用,明显提高了严重多发伤的救治成功率。

Objective To study the superiority of severe multiple trauma treatment model based on damage control strategy. Methods In the intergrated injury first-aid mode, the intensive care unit-guided damage control strategy was used to treat severe multiple trauma. Results A total of 789 severe multiple damage patients were treated with damage control strategies in our hospital from December 2018 to December 2018. Sixty-nine patients died and the survival rate was 91.25%. Conclusions The intensive care unit-guided trauma control strategy has a satisfactory clinical effect in the treatment of patients with severe multiple trauma.