损伤控制性手术在严重腹部损伤的应用  

Application of Damage Control Surgery on Serious Abdominal Injury

作　　者：车潇 田浩 

机构地区：[1]茂名石化医院普外科,广东茂名525011

出　　处：《黑龙江医学》2014年第6期648-649,共2页Heilongjiang Medical Journal

摘　　要：目的探讨损伤控制性手术对严重腹部损伤患者的治疗价值。方法对2009-08～2013-06间采用DCS救治的34例严重腹部损伤患者,观察其在复苏前后的体温、pH值、血乳酸水平和凝血酶原时间(PT)的变化情况,以及接受确定性手术以后的恢复情况。结果经过损伤控制性手术救治和复苏,患者的体温、pH值、血乳酸水平和PT值均明显改善,与复苏前相比差异有统计学意义,均为P<0.05。34例患者均接受Ⅱ期确定性手术,29例治愈出院,占85.29%,死亡5例,占14.71%。结论应用损伤控制性手术治疗严重腹部损伤效果良好,虽然仍有问题需要解决,但值得临床推广。Objective To explore the therapeutic value of damage control surgery on serious abdominal injury. Methods 34 serious abdominal patients were remedy of DCS from August,2009 to June,2013. The body temperature,pH,lactate levels and PT values were compared before and after resuscitation. The recover condition was also observed. Results The body temperature,pH,lactate levels and PT values were improved obviously. There was significance difference between them,P 0. 05. All the patients received determinacy operation and 29 of them cured,and the cure rate was 85. 29%. But 5 of them died,and the mortality was 14. 71%. Conclusion Damage control surgery has excellent therapeutic effect on serious abdominal injury and is worth popularizing.

关 键 词：损伤控制性手术 复苏 酸中毒 腹部损伤 

分 类 号：R656.1[医药卫生—急诊医学]