损害控制理论在严重多发伤合并休克救治中的应用  

Management of damage control theory in severe multiple injury with shock resuscitation

作　　者：杨帆[1] 白祥军[1] 刘开俊[1] 宋先舟[1] 田利华[1] 汤曼力[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院创伤外科,湖北武汉430030

出　　处：《创伤外科杂志》2009年第1期4-7,共4页Journal of Traumatic Surgery

摘　　要：目的研究损害控制理论在严重多发伤合并休克救治中应用的临床效果。方法对116例严重多发伤合并休克患者进行临床分析,比较损害控制组和常规方式两组间"致死性三联征"和其他相关生理指标恢复情况及与患者预后的关系。结果损害控制组患者重要生理指标恢复正常的时间较常规方式组显著性缩短,术后指标值较常规方式组更接近正常值,且病死率较常规方式组低(P<0.01)。结论在严重多发伤合并休克救治中应用损害控制理论能明显改善患者生理指标恢复,提高生存率。Objective To investigate the clinical therapeutical effect of damage control theory in severe mul- tiple injury with shock resuscitation. Methods A total of 116 patients were divided into damage control group and conventional group,and the recovery time of lethal triad of death and other physiological index in both groups were compared. Results The recovery time of important physiological index in damage control group was shorter than that in conventional group. The value of physiological index after operation in damage control group was more close to normal than that in conventional group. The mortality rate in damage control group was less than that in conventional group（P〈0.01）. Conclusion The management of damage control theory could obviously improve the re- covery of physiological index and increase the survival rate for treatment of severe multiple injury and shock.

关 键 词：多发伤 损害控制 休克 三联征 

分 类 号：R641[医药卫生—外科学]