损伤控制性手术在严重肝外伤治疗中的应用分析  

Damage Control Operation in Serious Liver Injury for the Analysis of Application of Treatment

作　　者：廖家鸣[1] 李敏皓[1] 黄仕灵[1] 

机构地区：[1]广东省佛山市中医院三水医院,广东佛山528100

出　　处：《中外医疗》2012年第12期16-17,共2页China & Foreign Medical Treatment

摘　　要：目的探讨损伤控制性手术治疗严重肝外伤的临床价值。方法将我科于2006年1月至2011年12月期间收治的严重肝外伤患者62例随机分为2组,观察组与对照组各31例,观察组患者接受损伤控制性手术治疗,对照组接受常规手术治疗。结果 (1)观察组的手术时间显著长于对照组,2组比较差异有统计学意义(P<0.05)。(2)观察组的并发症发生率显著低于对照组,2组比较差异有统计学意义(P<0.05)。(3)观察组的抢救成功率显著高于对照组,2组比较差异有统计学意义(P<0.05)。结论损伤控制性手术治疗严重肝外伤患者具有并发症发生率低、抢救成功率高等优点,因此损伤控制性手术这一外科理念值得在临床上推广。Objective To study the treatment of serious liver damage control surgery clinical value of trauma.Methods Will I branch in January 2006 to December 2011 were serious liver injury during the patients were randomly divided into two groups, the observation group and the control group （31 cases）, the observation group patients who receive damage control surgery,and the control group accept conventional surgery.Results （1）the observation group operation time was significantly longer than the control group, the two groups of comparisons difference was statistically significant（P〈0.05）.（2）the observation group complication rates signifi- cantly lower than those of the control group,the two groups of comparisons difference was statistically significant（P〈0.05）.（3）the observation group of the effective rate was significantly higher than those in the control group,the two groups of comparisons difference was statistically significant （P〈0.05）.Conclusion Surgical treatment of serious liver damage control patients with traumatic complications low,the effective rate was higher advantages,so the surgical operation damage control concept is worth in clinical promotion.

关 键 词：损伤控制性手术 严重肝外伤 手术时间 并发症发生率 抢救成功率 

分 类 号：R4[医药卫生—临床医学]