基于损伤控制策略的严重多发伤救治模型的临床应用研究  

Clinical application of severe multiple trauma treatment model based on damage control strategy

作　　者：唐伦先[1] 刘中民[1] 孙贵新[1] 李增春[1] 孙宏[1] 包晓玮[1] 王春梅[1] 季晟超[1] 邵钦[1] 白建文[1] Tang Lunxian;Liu Zhongmin;Sun Guixin;Li Zengchun;Sun Hong;Bao Xiaowei;Wang Chunmei;Ji Shengchao;Shao Qin;Bai Jianwen(Emergency Department of Shanghai East Hospital/Tongji University, Shanghai, 200120)

机构地区：[1]同济大学附属东方医院急诊医学部,上海200120

出　　处：《中华急诊医学杂志》2019年第8期962-965,共4页Chinese Journal of Emergency Medicine

基　　金：上海市重中之重重点专科(重症医学)(2017ZZ02017);上海市浦东新区临床高峰学科(急危重症)(PWYgf2018-05);国家自然科学基金面上项目(81670067).

摘　　要：目的探讨损伤控制策略在严重多发伤救治中的临床应用。方法探索在一体化创伤急救模式下,采用以ICU为主导的损伤控制策略等对严重多发伤进行整体化治疗。结果 2008年12月至2018年12月期间,同济大学附属东方医院急诊医学部共对789例严重多发伤实施损伤控制策略救治,死亡69例,抢救成功率为91.25%。结论在一体化的创伤急救模式下,采取基于损伤控制策略的严重多发伤救治,突出ICU医生的主导作用,明显提高了严重多发伤的救治成功率。Objective To study the superiority of severe multiple trauma treatment model based on damage control strategy. Methods In the intergrated injury first-aid mode, the intensive care unit-guided damage control strategy was used to treat severe multiple trauma. Results A total of 789 severe multiple damage patients were treated with damage control strategies in our hospital from December 2018 to December 2018. Sixty-nine patients died and the survival rate was 91.25%. Conclusions The intensive care unit-guided trauma control strategy has a satisfactory clinical effect in the treatment of patients with severe multiple trauma.

关 键 词：损伤控制 严重多发伤 急诊一体化 重症监护 

分 类 号：R641[医药卫生—外科学]