损伤控制性外科在胰腺损伤中的效果及应用价值  

Application of damage control surgery(DCS) in pancreatic trauma

作　　者：朱长举[1] 姚国华[1] 王万鹏[1] 刘海燕[1] 杨万广[1] 

机构地区：[1]郑州大学第一附属医院急诊外科,郑州市450052

出　　处：《医药论坛杂志》2014年第8期60-61,共2页Journal of Medical Forum

基　　金：河南省科技发展计划基金:(102102310114)

摘　　要：目的探索损伤控制性外科在胰腺损伤救治中的效果及其应用价值。方法对2003年1月至2013年12月间收治的48例胰腺损伤患者按DCS原则进行的诊疗过程进行分析。结果 45例患者痊愈,1例死于严重颅脑损伤,2例死于难于控制的多脏器功能衰竭。结论对符合DCS纳入标准的胰腺损伤患者,应尽早采用快捷省时的措施控制出血和污染,依病情选择合适的手术方式,待病情稳定后再做进一步的确定性治疗,提高了患者的治愈率,减少了并发症的发生。Objective To explore the effect and the application value of damage control surgery on the treatment of pancreatic trauma. Methods The process of treatment of 48 pancreatic trauma patients who were admitted to our center from Jan. 2003 to Dec. 2013 were retrospectively analyzed. These patients Were eligible for the performance of DSC. Results Forty- five patients survived. One patient died of severe brain injury. Two died of multiple organ failure.Conclusion With the severe pancreatic trauma patients who meet the DCS inclusion criteria,proper measures are quickly adopted to control bleeding or pollution,and take the proper surgical methods. And the DCS increase the survival rate and decrease the complication rate.

关 键 词：损伤控制性外科 胰腺 创伤 

分 类 号：R657.5[医药卫生—外科学]