损伤控制在促进急诊外科多发伤患者恢复中的价值分析  

Value of Damage Control in the Recovery of patients with Multiple Traumas in Emergency Surgery

作　　者：刘军 许发发[2] 江岩 罗积慎 殷辉 潘险峰 

机构地区：[1]解放军昆明总医院急救部ICU病房,云南昆明650032 [2]解放军昆明总医院门诊部,云南昆明650032

出　　处：《现代生物医学进展》2017年第16期3083-3085,3163,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨分析损伤控制在促进急诊外科多发伤患者恢复中的价值。方法:随机选择2014年6月-2016年6月入住我院治疗的多发伤患者60例,并随机分成治疗组和对照组,每组30例患者。治疗组采取损伤控制的疗法,对照组采取一期确定治疗手术的方法,对比分析两组患者治疗前后最高体温、乳酸清除时间、凝血功能改善状况(以PT和APTT恢复正常时间为标准)、血液碱剩余(BE)恢复时间、手术出血量、并发症的发生情况及死亡率。结果:相较于对照组患者,治疗组患者手术时间、术中出血量、术后最高体温、乳酸清除时间、PT、APTT和BE恢复正常时间均明显降低或缩短,差异均有统计学意义(P<0.05),但两组患者并发症率及患者死亡率差异无统计学意义(P>0.05)。结论:相较于传统的方法,采用损伤控制外科技术应用于急诊外科多发伤可促进患者恢复,具有一定的应用价值。Objective： To analysis the value of Damage Control in the recovery of multiple traumas in the emergency surgery. Methods： From June 2014 to June 2016, 60 cases of patients with multiple injury admitted in our hospital were were selected and randomly divided into the treatment group and control group with 30 cases in each group, the treatment group was given therapy of damage control, the control group was given the issue of determining method for the treatment of surgery. By surgical treatment, the effect, tinnitus loudness, highest temperature, lactic acid removal time, blood coagulation function improvement status （on the basis of PT and APTT returned to normal time）, blood alkali surplus （BE） recovery time, intraoperative blood loss, incidence of complication and mortality rate were compared between two groups before and after treatment. Results： Compared with the control group, the operation time, intraoperative blood loss, highest temperature, lactic acid removal time, blood coagulation function improvement status （on the basis of PT and APTT returned to normal time） residual （BE）, blood alkali recovery time, intraoperative blood loss were obviously lower or shorter （P〈0.05）, no significant difference was observed in the complication rate and mortality between two groups （P〉0.05）. Conclusion： Damage control surgery technique could promote the recovery of patients with multiple traumas.

关 键 词：损伤控制 急诊外科 多发伤 临床价值 

分 类 号：R64[医药卫生—外科学]