肝胆外科损伤控制性手术应用效果分析  

Analysis of Application Effects of Damage Control Surgery in Department of Hepatobiliary Surgery

作　　者：李伟[1] 王林[2] 陈仿[1] 

机构地区：[1]四川省医学科学院四川省人民医院急诊外科,成都610000 [2]四川省医学科学院四川省人民医院普外科,成都610000

出　　处：《中国医药导刊》2016年第3期247-248,共2页Chinese Journal of Medicinal Guide

摘　　要：目的分析在肝胆外科开展损伤控制性手术的应用效果.方法：选取2013年2月～2015年5月肝胆外科收治的肝胆创伤患者130例,随机分为对照组和观察组,各65例,对照组给予常规手术治疗,观察组给予损伤控制性手术治疗.结果：两组手术时间无明显差异,观察组的术后恢复时间以及病死率均显著短于对照组（P〈0.05）,观察组患者肺部感染、粘连性肠梗阻和胰腺损伤发生率均明显低于对照组（P〈0.05）.结论：对严重创伤患者实施损伤控制术救治,能有效减少患者肺部感染和粘连性肠梗阻等并发症发生,降低患者死亡率.[ABSTRACT]Objective: To analyze the application effect of damage control surgery in Department of hepatobiliary surgery. Methods: A total of 130 cases of patients with liver trauma in February 2013 to 2015 may treated in the Department of hepatobiliary surgery, were randomly divided to observation group and control group, 65 cases in each, the control group was given conventional surgical treatment, the observation group given damage control surgery. Results: The operation time of the two groups had no significant difference, in the observation group, the postoperative recovery time, and the case fatality rate was significantly shorter than that of the control group (P<0.05), observation group patients with pulmonary infection, adhesive intestinal obstruction and pancreatic injury incidence were significantly lower than those in control group (P<0.05). Conclusion:It is effective to reduce the incidence of pulmonary infection and adhesive intestinal obstruction in patients with severe trauma, and reduce the mortality of patients with severe trauma.

关 键 词：肝胆外科 损伤控制性手术 治疗效果 

分 类 号：R657.3[医药卫生—外科学]