损伤控制在腹部损伤合并多发伤治疗中的应用

摘要

目的:分析不同方法早期治疗腹部损伤合并多发伤的疗效,探讨早期损伤控制的合理方法.方法:以腹部损伤为主的多发伤患者88例,其中采取DCS方法治疗40例(DCS组),以ETC方法治疗48例(ETC组).结果:DCS组的乳酸清除时间、凝血酶原时间均较ETC组短(P＜0.05),体温恢复时间、ICU住院天数差异显著(P＜0.01),DCS组比ETC组并发症及病死率低(P＜0.05),两组出血量比较无统计学意义(P＞0.05).结论:采用DCS方法治疗以腹部损伤为主严重多发伤,有利于降低患者的病死率及并发症.%Objective To explore the therapeutic effects through investigating the results of severe abdominal injuries in multiple trauma patients treated by means of damage control surgery (DCS). Methods The clinical data of 88 patients with severe abdominal injuries of multiple trauma were analyzed retrospectively.Forty patients were classified to the DCS group, 48 patients to the early total care (ETC) group as a control.Results Comparing with the two groups, the recovery time of clearance of lactic acid and body temperature, the days in ICU, prothrombin time (PT) of DCS group were significantly less than those of ETC group (P ＜0.05 or P ＜0.01). The morbidity and morality in DCS group were significantly shorter than those in ETC group (P ＜0.05) No significant difference existed in the volume of bleeding (P ＜0.05). Conclusion DCS could reduce the incidences of complications and mortality of patients with multiple trauma.