损伤控制性外科的发展历程和研究进展

Development progresses and research advances of damage control surgery

近一个世纪以来,以提高伤员的生存率为导向,损伤控制性外科(DCS)经历了从早期简单的纱布填塞到有计划地复苏、再手术的发展历程,良好的救治效果逐步显现。近年来,DCS的理念被越来越广泛地接受并应用于除腹部外伤以外的多个领域,DCS技术不断规范,流程愈加科学。同时,DCS的研究取得了一些令人瞩目的进展,提出了损伤控制性复苏、允许性低血压等新理念和复苏性主动脉球囊阻断术、杂交急救手术系统等新技术。

Guided by aim of improving the survival rate of the injuries,damage control surgery(DCS)have undergone developments from simple gauze packing to planned resuscitation and reoperation for nearly a century,which leads to a great improvement in the treatments.In recent years,the concept of DCS has been more and more widely accepted and applied in many fields other than abdominal trauma.Besides,the technologies have been constantly standardized and the procedures have been more scientific.At the same time,some remarkable progress has been made in the research of DCS,such as new concepts of damage control resuscitation,permissive hypotension,and new technologies such as resuscitative balloon aortic occlusion and hybrid emergency surgery system.