不同复苏方案对严重多发伤患者创伤性凝血障碍的影响  

Effects of different resuscitation programs on traumatic coagulation disorders in patients with severe multiple trauma

作　　者：高永祺[1] 陈发球[1] 邓文斌[1] 王福权[1] 蔡俊伟 GAO Yong-qi;CHEN Fa-qiu;DENG Wen-bin(Emergency department,Jiangmen central hospital,Jiangmen 529000,China)

机构地区：[1]江门市中心医院急诊科,广东江门529000

出　　处：《吉林医学》2021年第5期1040-1042,共3页Jilin Medical Journal

摘　　要：目的:探讨对于严重多发伤患者而言,不同复苏方案对于创伤性凝血障碍的影响。方法:选取100例严重多发伤患者为研究对象,根据复苏方案的不同分为传统复苏组与损伤控制复苏组,两组各分配患者50例,传统复苏组采用常规复苏方案,损伤控制复苏组采用损伤控制性复苏方案,治疗完成后对比两组患者的治疗效果与预后情况。结果:损伤控制复苏组患者的低体温时间、凝血功能时间、酸中毒时间、出血量情况均明显优于传统复苏组,组间差异有统计学意义(P<0.05);而在患者预后情况方面,损伤控制复苏组患者创伤性凝血病的发病率及死亡率、住院时间数据明显优于传统复苏组,组间差异有统计学意义(P<0.05)。结论:在严重多发伤患者的治疗过程中,通过损伤控制性复苏方案进行救治能够有效减少患者的凝血功能障碍、低体温及酸中毒时间,从而改善患者的预后情况,增加治疗的效果,缩短患者的住院时间,效果确切。Objective To investigate the effects of different resuscitation schemes on traumatic coagulation disorders in patients with severe multiple trauma.Method 100 cases of severe multiple trauma patients were selected as the research object,the patients,depending on the recovery plan were divided into traditional recovery and damage control resuscitation group,two groups of 50 patients with various distribution,traditional recovery group with conventional recovery plan,damage control resuscitation group USES the injury recovery plan control,compared two groups of patients after treatment effect and prognosis.Results The hypothermia time,coagulation time,acidosis time and blood loss of the patients in the injury control resuscitation group were significantly better than those in the traditional resuscitation group,with significant differences between the groups(P<0.05).In terms of the prognosis of patients,the data of morbidity,mortality and hospitalization time of traumatic coagulation disease in the injury control resuscitation group were significantly better than those in the traditional resuscitation group,with significant differences between groups(P<0.05).Conclusion In the treatment of patients with severe multiple injuries,the treatment with injury control resuscitation program can effectively reduce the coagulation dysfunction,hypothermia and acidosis time of the patients,thus improving the prognosis of the patients,increasing the treatment effect and shortening the hospitalization time of the patients,with a definite effect.

关 键 词：严重多发伤 不同复苏方案 创伤性凝血障碍 

分 类 号：R641[医药卫生—外科学]