急诊Ⅰ期手术和控制性手术治疗肝胆外科损伤的临床效果比较  

Comparison of the clinical effects of emergency stageⅠsurgery and controlled surgery in the treatment of hepatobiliary surgery injury

作　　者：张电启 ZHANG Dian-qi(Hua County People's Hospital of Henan,Anyang 456400,China)

机构地区：[1]河南省滑县人民医院,河南安阳456400

出　　处：《临床医学研究与实践》2020年第12期71-72,75,共3页Clinical Research and Practice

摘　　要：目的比较急诊Ⅰ期手术和控制性手术治疗肝胆外科损伤的临床效果。方法以2017年5月至2018年5月我院接收的68例肝胆外科损伤患者作为研究对象,根据治疗方法的不同将其分为参照组和控制性手术组,各34例。参照组采用常规急诊Ⅰ期手术治疗,控制性手术组采用控制性手术治疗。观察两组治疗前及治疗1周后的pH值、体温、血浆凝血酶原时间(PT)、手术时间、住院时间、治疗1周后的并发症发生情况及治疗2周后的死亡率。结果治疗1周后,两组pH值、体温明显高于治疗前,PT明显短于治疗前,且控制性手术组优于参照组(P<0.05)。控制性手术组的手术时间明显短于参照组,住院时间明显长于参照组(P<0.05)。治疗1周后,控制性手术组的并发症总发生率明显低于参照组(P<0.05)。治疗2周后,控制性手术组的死亡率明显低于参照组(P<0.05)。结论相比于常规急诊Ⅰ期手术,肝胆外科损伤患者通过控制性手术治疗的临床价值显著,值得在临床上推广应用。Objective To compare the clinical effect of emergency stageⅠsurgery and controlled surgery in the treatment of hepatobiliary surgery injury.Methods From May 2017 to May 2018,68 patients with hepatobiliary surgery injury admitted in our hospital were selected as the research objects.According to the different treatment methods,the patients were divided into reference group and controlled surgery group,with 34 cases in each group.The reference group received conventional emergency stageⅠsurgery,and the controlled surgery group received controlled surgery.The pH value,body temperature,plasma prothrombin time(PT)before and after 1 week of treatment,operation time,hospitalization time,complication after 1 week of treatment and mortality rate after 2 weeks of treatment were observed between the two groups.Results After 1 week of treatment,the pH value,body temperature in the two groups were significantly higher than those before treatment,the PT were significantly shorter than those before treatment,and those in the controlled surgery group were better than the reference group(P<0.05).The operation time in the controlled surgery group was significantly shorter than that in the reference group,and the hospitalization time was significantly longer than that in the reference group(P<0.05).After 1 week of treatment,the total incidence of complications in the controlled surgery group was significantly lower than that in the reference group(P<0.05).After 2 weeks of treatment,the mortality rate in the controlled surgery group was significantly lower than that in the reference group(P<0.05).Conclusion Compared to the conventional emergency stageⅠsurgery,the clinical value of controlled surgery for patients with hepatobiliary injuries is significant,which is worthy of popularization and application in clinic.

关 键 词：肝胆外科损伤 控制性手术 急诊Ⅰ期手术 

分 类 号：R657.3[医药卫生—外科学] R657.4[医药卫生—临床医学]