急诊科多发伤救治中损伤控制外科技术的临床标准应用  

Application of Clinical Standard on Injury Control Surgical Techniques for Multiple Injuries in Emergency Department

作　　者：宋永林 李国华 SONG Yong-lin;LI Guo-hua(Zhenjiang Ruikang Hospital)

机构地区：[1]镇江瑞康医院

出　　处：《中国标准化》2021年第24期219-221,共3页China Standardization

摘　　要：目的:研究损伤控制外科技术应用在急诊科救治多发伤患者中的临床价值。方法:随机收集在镇江市瑞康医院收治的60例多发伤患者,2013-2016年为研究时段,分为对照组、试验组,各样本容量30例。对照组进行传统救治,试验组给予损伤控制外科技术进行救治。比较2组的并发症发生率、抢救成功率和临床指标。结果:试验组患者的并发症发生率为3.33%、抢救成功率为93.33%,对照组患者的并发症发生率为23.33%、抢救成功率为73.33%,具统计学差异,P<0.05。试验组平均手术时间、体温恢复时间、乳酸恢复时间、凝血功能恢复时间短于对照组,术中出血量多于对照组,P<0.05。结论:在急诊科中,选择损伤控制外科技术救治多发伤患者,具有高抢救成功率、少并发症效果,值得应用。Objective: To study the clinical value of the application of damage control surgical techniques in the treatment of patients with multiple injuries in the emergency department. Methods: 60 patients with multiple injuries admitted to Zhenjiang Ruikang Hospital in the period of 2013-2016 were randomly collected. They were divided into control group and experimental group, each with 30 cases. The control group received traditional treatment, and the experimental group was treated with injury control surgical techniques. The complication rate, rescue success rate and clinical indicators of the two groups were compared. Results: The complication rate of the experimental group was 3.33%, and the rescue success rate was 93.33%. The complication rate of the control group was 23.33%, and the rescue success rate was 73.33%.There was a statistical difference(P<0.05). The average operation time, body temperature recovery time, lactic acid recovery time, and blood coagulation recovery time of the experimental group were shorter than those of the control group, and the intraoperative blood loss was more than that of the control group(P<0.05). Conclusion: In the emergency department, choosing damage control surgery technology to treat patients with multiple injuries has a high rescue success rate and few complications, and it is worthy of application.

关 键 词：损伤控制外科技术 急诊科 多发伤 

分 类 号：R641[医药卫生—外科学]