目的 探讨损害控制在严重创伤救治中的应用.方法 回顾性分析2005年3月至2010年2月5年间我科采用损害控制外科技术治疗的37例严重创伤患者的临床资料.结果 采用快速开颅血肿清除减压7例,占18.92％;胸腔闭式引流10例,占27.03％；暂时性血管阻断、填塞或栓塞止血28例,占75.68％；肠破裂修补、外置及造口术15例,占40.54％;暂时关腹11例,占29.73％.19例在初次手术后48 h内进行了二次确定性手术；13例在初次手术后2周进行二次骨折确定性固定手术.最终治愈25例,治愈率为67.57％、死亡12例,病死率为32.43％.结论 损害控制外科技术的合理应用可以有效降低严重创伤患者的死亡率,是危重创伤患者救治策略的一大进步.%Objective To explore the effect of damage control in the treatment of serious injury. Methods The clinical data of 37 patients of serious injury undergoing damage control surgery from March 2005 to February 2010 were retrospectively analyzed. Results Seven cases received rapid craniotomy evacuation of hematoma (18.92%); 10 cases were treated by intercostal chest tube insertion (27.03%); 28 cases received temporary vessel occlusion, filling or embollzation (75.68%); 15 cases received intestinal repair or enterostomy (40.54%); 11 cases received temporary abdominal closure (29.73%). 19 cases underwent second definitive operation within 48 hours after the first opera-tiom, and 13 cases received second definitive operation two weeks after the first surgery. Of the 37 cases, 25 were eventually cured (67.57%), and 12 died (32.43%). Conclusion The rational application of damage control surgery can effectively reduce the mortality in patients with serious injuries.
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