Secondary definitive surgery for multiple injuries from Wenchuan earthquake in China  

机构地区：[1]Department of Orthopedics, Jinling Hospital, Clinical College of Medicine, Nanjing University, Nanjing 210002, China

出　　处：《Chinese Journal of Traumatology》2009年第1期-,共3页中华创伤杂志（英文版）

摘　　要：Objective: To investigate the opportune time of sec-ondary definitive surgery for patients with multiple injuries from earthquakes based on the acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score and the principles of damage control.Methods: Twenty-one patients with critical earthq-ake injuries were treated with damage control strategies, fol-lowed by medical support and surgical intervention to re-store their physical potential in the intensive care unit (ICU). Successive APACHE Ⅱ scoring was adopted to evaluate the patients' physiological status, and then, internal fixa-tion of fractures and other definitive operations were performed.Results: All the patients were effectively treated with few complications, low deformity rate and no death.Conclusions: Appropriate evaluation of patients' physi-ological potential, right decision on surgical time and proper operative method can reduce the rates of complications, disability and death for patients with critical earthquake injuries.Objective: To investigate the opportune time of sec-ondary definitive surgery for patients with multiple injuries from earthquakes based on the acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score and the principles of damage control.Methods: Twenty-one patients with critical earthq-ake injuries were treated with damage control strategies, fol-lowed by medical support and surgical intervention to re-store their physical potential in the intensive care unit (ICU). Successive APACHE Ⅱ scoring was adopted to evaluate the patients' physiological status, and then, internal fixa-tion of fractures and other definitive operations were performed.Results: All the patients were effectively treated with few complications, low deformity rate and no death.Conclusions: Appropriate evaluation of patients' physi-ological potential, right decision on surgical time and proper operative method can reduce the rates of complications, disability and death for patients with critical earthquake injuries.

关 键 词：Multiple trauma FRACTURES Surgery operative 

分 类 号：R6[医药卫生—外科学]