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作 者:宰唯喜 Zai Wei-xi(Department of Emergency Surgery,Xishan People's Hospital,Wuxi 211400,Jiangsu Province,China)
机构地区:[1]江苏省无锡市锡山人民医院急诊外科,江苏无锡211400
出 处:《中外医药研究》2022年第10期48-50,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
摘 要:目的:观察急救模式下创伤控制性手术治疗严重多发性创伤的临床效果。方法:选取2019年9月-2021年9月江苏省无锡市锡山人民医院急诊外科收治的严重多发性创伤患者96例为观察对象,采用随机数字表法分为观察组和对照组,各48例。对照组采用常规急诊救治模式治疗,观察组采用急救模式下创伤控制性手术治疗。比较两组患者救治存活率、临床指标、并发症发生率。结果:观察组救治存活率高于对照组,差异有统计学意义(P<0.05);观察组院内急诊时间、手术时间及住院时间均短于对照组,手术出血量少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:实施急救模式下创伤控制性手术治疗严重多发性创伤,能提升救治效果,减少手术损伤,降低手术并发症,促进患者康复,缩短急诊时间、手术时间、住院时间,减少术中出血量。Objective:To observe the clinical effect of trauma control surgery on severe multiple trauma in emergency mode.Methods:Ninety-six patients with severe multiple trauma admitted to the department of emergency surgery of Xishan People's Hospital from September 2019 to September 2021 were selected as the observation objects.Random number table method was used to divide the observation group and control group,48 cases in each group.The control group was treated with conventional emergency treatment mode,and the observation group was treated with trauma control surgery under emergency treatment mode.The survival rate,clinical index and complication rate of the two groups were compared.Results:The survival rate of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).The hospital emergency time,operation time and hospital stay in the observation group were shorter than those in the control group,and the amount of surgical bleeding was less than that in the control group,the difference was statistically significant(P<0.05).The complication rate of observation group was lower than control group,the difference was statistically significant(P<0.05).Conclusion:The implementation of trauma control surgery in the emergency mode for the treatment of severe multiple trauma can improve the treatment effect,reduce surgical injuries,reduce surgical complications,promote the recovery of patients,shorten the emergency time,operation time and hospital stay,and reduce intraoperative blood loss.
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