腹部严重创伤控制性手术与ICU复苏的价值评估  

Evaluation of ICU Resuscitation and Damage Control Surgery in Severe Abdominal Trauma

作　　者：陈敏[1] 顾珮瑜[1] 马静[1] 于杰[1] 吴乔[1] 孙宁东[2] 

机构地区：[1]华中科技大学同济医学院附属梨园医院ICU,湖北武汉430072 [2]解放军第458医院普外科,广东广州510000

出　　处：《武汉大学学报（医学版）》2013年第5期780-783,共4页Medical Journal of Wuhan University

基　　金：湖北省卫生厅科研基金资助项目(编号:JX6B11)

摘　　要：目的:探讨腹部严重创伤控制性手术(DCS)后ICU复苏的应用价值。方法:回顾性分析和评价2003年1月-2007年12月收治的23例腹部严重创伤病人(传统手术组)和2008年1月-2013年1月36例腹部严重创伤(DCS组)采取损伤控制性手术的疗效。结果:传统手术组23例腹部严重创伤病人痊愈出院12例,死亡11例;DCS组36例患者均采用损伤控制性手术治疗,其中痊愈32例,死亡4例,两组比较有显著性差异(P<0.05)。结论:腹部严重创伤及时采取DCS和有效地ICU复苏,能显著提高救治成功率,降低死亡率。Objective： To investigate the value of ICU resuscitation and damage control surgery （DCS） in severe abdominal trauma. Methods： The clinical data of 32 cases with severe abdominal trauma received traditional operation were compared with those of 36 cases received DCS, and outcomes of DCS and ICU resuscitation were evaluated. Results： Twelve cases group were cured and 11 ca- ses were dead in conventional group, while in DCS group, 32 cases were cured and 4 cases were dead （P〈0.05）. Conclusion： Taking proactive DCS and ICU resuscitation in severe abdominal trauma can effectively improve survival rate and reduce mortality rate.

关 键 词：腹部严重创伤 损伤控制性手术 重症监护病房 

分 类 号：R641[医药卫生—外科学]