损伤控制性手术在严重胰腺损伤治疗中的应用  

Application of damage control surgery in treatment of serious pancreatic injury

作　　者：宋胜江[1] 何国鑫[1] 戴华卫[1] 金凯[1] 

机构地区：[1]浙江省瑞安市人民医院,瑞安325200

出　　处：《浙江创伤外科》2011年第2期155-157,共3页Zhejiang Journal of Traumatic Surgery

摘　　要：目的探讨损伤控制外科在严重胰腺损伤患者治疗中的临床应用效果。方法采集本院2005年3月至2009年12月期间符合DCS纳入标准的28例严重胰腺损伤患者的临床资料。结果 24例(85.7%)痊愈出院,2例(7.1%)患者死于多器官功能衰竭,l例死于术后合并严重颅脑损伤,l例死于术后拒绝治疗。结论在复苏同时应尽快采用简单省时的手术挽救生命,控制出血和污染、充分引流、保存胰腺功能,病情稳定后再做相应的手术和治疗,可提高严重胰腺外伤的抢救成功率,减少术后并发症的发生。Objective To discuss and summarize the clinical application of damage control surgery in severe pancreatic trauma..Methods The clinical data of 28 pancreatic trauma patients who were admitted to our hospital from March 2005 to December 2009 were retrospectively analyzed.These patients were eligible for the performance of DCS.Results 24 cases were cured while 4 cases died of multiple organ dysfunction sydrome （2 cases）,serious brain injury （1 case）,refusal of therapy （1 case）.Conclusion Prompt diagnosis and integration of controlling hemorrhage and pollution,adequate drainage and preservation of pancreatic function are key to enhancing the survival rate of severe pancreatic trauma.DCS is effective and safe for the treatment of severe pancreatic patients.

关 键 词：损伤控制外科 严重胰腺炎损伤 

分 类 号：R657.5[医药卫生—外科学]