损伤控制性外科在腹部血管损伤急救中的临床应用分析  

Clinical study on effect of damage control surgery in abdominal vascular injuries

作　　者：陈仿[1] 陈宁波[1] 

机构地区：[1]四川省人民医院急救中心外科,四川成都610072

出　　处：《四川医学》2012年第1期60-61,共2页Sichuan Medical Journal

摘　　要：目的分析损伤控制外科(DCS)在腹部血管损伤急救中的应用效果。方法回顾性分析四川省人民医院急救中心2005年1月～2010年6月期间21例应用DCS救治的腹部血管损伤患者的临床资料。结果 21例腹部血管损伤患者应用包括腹主动脉夹闭、损伤血管结扎、置入暂时腔内分流管、填塞等作为腹部血管损伤时应用损伤控制性外科原则的具体措施,待生命体征稳定后再实施确定性手术,15例(71.4%)痊愈出院,6例(28.6%)患者死于失血性休克及多器官功能衰竭。结论为了提高腹部血管损伤患者的存活率,应用损伤控制性外科技术(DCS),选用合适的手术方式是救治的关键。Objective To explore the effect of Damage Control Surgery（DCS） in the treatment of abdominal vascular injuries.Methods A retrospective analysis of the clinical data of 21 abdominal vascular injuries patients who admitted in our center from Jan.2005 to Jun.2010 was undertaken.These patients were eligible for the performance of（DCS）.Results According to（DCS）,21 abdominal vascular injuries patients were treated by emergency operation such as abdominal aorta clamping,ligation,temporary intravascular shunt and packing.The definitive operation was performed as soon as the vital signs became stable.15 cases（71.4%） survived.6 cases（28.6%） dead of hemorrhagic shock and multiple organ failure.Conclusion To improve the survival rate of abdominal vascular injuries patients,the application of（DCS） and choosing eligible operations modus is the key management.

关 键 词：损伤控制性外科 腹部血管损伤 

分 类 号：R656[医药卫生—外科学]