损害控制外科在严重腹部创伤休克救治的分阶段应用  

The application of emergency damage control methods in different stage of severe abdominal traumatic shock

作　　者：杨鹤鸣[1] 吴航滨[2] 张长春[3] 徐学武[4] 姜福全[1] 赵燕[1] 李亚强[2] 任鸿昌[1] 付自臣 孙培鸣[1] 刘祎[1] 

机构地区：[1]解放军306医院普通外科,北京100101 [2]解放军306医院急诊科,北京100101 [3]解放军306医院ICU,北京100101 [4]解放军306医院麻醉科,北京100101

出　　处：《创伤外科杂志》2017年第2期138-141,共4页Journal of Traumatic Surgery

摘　　要：目的探讨损害控制外科技术在严重腹部创伤休克救治的全过程分阶段应用的效果。方法回顾性分析86例严重腹部创伤休克患者在院前急救与转运、院内急救与复苏、急诊手术与ICU监护、计划性再手术等不同阶段应用损害控制外科技术的救治情况和治疗效果。结果 4例患者在急救及转运过程中死亡,余82例术前初步复苏成功,获得救命性手术治疗。其中2例在术中大出血死亡,4例在后期死于多器官功能衰竭(MOF),76例治愈。结论将损害控制外科技术贯穿应用于严重腹部创伤休克患者中的不同阶段可以取得良好的救治效果。Objective To identify the effect of emergency damage control methods in all- stage of severe abdominal traumatic shock. Methods The data of 86 cases with severe abdominal traumatic shock were retrospective analysed in this study. Emergency damage control methods were done in different stage in these cases after injury,including pre-hospital resuscitation and transport stage,in-hospital advanced life support stage,＂life-saving＂ operation stage,ICU stage,planned re-operation stage,et al. Results 82 cases were saved after pre- operation emergency resuscitation and ＂life-saving＂ operations were done. 2 cases died of bleeding in operation,4 cases died of MOF after ＂life-saving＂operation. 76 cases survived. Conclusion Damage control methods used in different stage could have benefit for severe abdomen trauma shock patients.

关 键 词：腹部创伤 休克 损害控制 

分 类 号：R656[医药卫生—外科学]