多发伤救治体系与损伤控制外科理论在救治严重多发伤患者中的应用

摘要

Objective To discuss The Clinical Application of Multiple trauma treatment systerm and Theory of damage control surgery. Methods A retrospective study was conducted based on the clinical data of 261 patients with Multiple trauma who were admitted to the Affiliated Hospital of Xi'an Medical College from 2009 to 2012.Results As compared with control group, Experimental group was associated with lower incidences of emergency time ,inspection time,emergency surgery preparation time,early misdiagnosis rate,and mortality. Rescue success rate were 94.91% and 88.02%, respectively. Conclusions A better emergency systerm, Controlled fluid resuscitation ,and high-efficiency Theory of damage control surgery are conducive to successful emergency.%目的：探讨急救体系建设与损伤控制外科对多发伤救治的重要意义。方法回顾性分析2009年5月~2012年12月严重多发伤261例的临床资料作为试验组，并选取2005年1月~2009年1月192例作为对照组进行统计学分析。结果试验组与对照组比较患者急诊科停留时间、院内影像学检查时间、急诊抢救至手术时间缩短，早期漏诊误诊率、早期死亡率下降，抢救成功率分别是94.91%和88.02%。结论良好的急救体系建设，控制性液体复苏和有效地损伤控制外科理论临床应用可以显著提高多发伤的抢救成功率。