损伤控制外科理念在急诊肝破裂患者中的临床应用价值

Value of damage control surgery concept applied in hepatorrhexis patients in emergency department

目的探讨损伤控制外科(DCS)理念在急诊肝破裂患者中的临床应用价值。方法将采用常规方法救治的32例肝破裂患者纳入对照组,同时将46例采用DCS理念救治的肝破裂患者纳入观察组。比较2组基线资料、治疗效果及手术临床指标。结果2组患者基线资料比较,差异无统计学意义(P>0.05);观察组保守治疗率、手术治愈率高于对照组,术后病死率及并发症发生率低于对照组,差异均有统计学意义(P<0.05);2组患者手术临床指标比较,差异无统计学意义(P>0.05)。结论将DCS理念应用于急诊肝破裂患者的治疗中,不仅可提升保守治疗率和手术治愈率,而且可降低术后并发症发生率及病死率。

Objective To explore the value of damage control surgery(DCS)concept in the hepatorrhexis patients in emergency department.Methods A total of 32 hepatorrhexis patients receiving routine treatment were selected in control group,and 46 hepatorrhexis patients with treatment based on DCS concept were selected as observation group.The general information,therapeutic outcomes and the clinical indexes related to operation in two groups were compared.Results The general information in two groups showed no statistical difference(P>0.05).The conservative treatment rate and surgical cure rate in the observation group were significantly higher,and the postoperative mortality rate and complication rate were significantly lower than those in the control group(P<0.05).The clinical indexes related to operation in two groups showed no statistical differences(P>0.05).Conclusion DCS concept applied in the hepatorrhexis patients could not only improve the conservative treatment rate and surgical cure rate,and reduce the incidence of postoperative complications and mortality rate.