损伤控制外科技术在急诊多发伤救治中的应用  

Clinical application of damage control surgery in emergency rescue of multiple traumas

作　　者：孔祥忍 牛际铭 武巧月[1] 翟佳[1] 彭伟伟[1] 

机构地区：[1]郑州市第三人民医院,河南郑州450000

出　　处：《中国民康医学》2017年第24期14-15,17,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:研究损伤控制外科技术在急诊多发伤救治中的应用。方法:按随机数表法86例多发伤患者作为研究对象,随机分为对照组与研究组,每组各43例,对照组患者采用传统方式抢救,研究组患者应用损伤控制外科技术治疗,对比两组患者的乳酸恢复时间与体温恢复时间、手术时间、出血量、并发症发生率、死亡率等临床指标。结果:研究组患者的乳酸恢复时间、体温恢复时间、出血量均明显低于对照组患者,差异具有统计学意义(P<0.05),研究组患者的并发症发生率、死亡率均低于对照组患者,差异具有统计学意义(P<0.05)。结论:损伤控制外科技术在急诊多发伤救治中可提高严重创伤患者的生存率,有效降低并发症的发生率。Objective To analyze clinical application of damage control surgery in emergency rescue of multiple traumas.Methods： 86 patients with multiple traumas were selected as the study objects and randomly divided into two groups, 43 cases in eachgroup. The control group received the conventional rescue method, while the study group received the damage control surgery. The recovery time of lactic acid and body temperature, operation time, bleeding volume, incidence rate of complications and death rate of thetwo groups were compared. Results： The recovery time of lactic acid and body temperature as well as bleeding volume for the studygroup were significantly lower than those for the control group, and the differences were statistically significant （P〈0. 05）. Further,the incidence rate of complications and death rate for the study group significantly lower than those for the control group, and the differences were statistically significant （P〈0. 05）. Conclusions： The damage control surgery in the emergency rescue of multiple traumascan improve the patients＇ survival rate and reduce the incidence rate of complications.

关 键 词：损伤控制外科技术 急诊 多发伤 救治 

分 类 号：R605.97[医药卫生—急诊医学]