损伤控制急诊手术治疗肝外伤的临床效果分析  

Clinical Effect of Emergency Operation on Hepatic Trauma Control

作　　者：高武林 Gao Wu-lin(Fangshan District First Hospital,Beijing 102400,China)

机构地区：[1]北京市房山区第一医院,北京102400

出　　处：《中外医药研究》2022年第16期21-23,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析损伤控制急诊手术治疗肝外伤的临床效果。方法:选取2010年1月-2020年1月北京市房山区第一医院收治的行手术治疗的肝外伤患者120例为观察对象,根据随机数字表法分为对照组和观察组,各60例。对照组给予常规急诊手术治疗,观察组给予损伤控制急诊手术治疗。比较两组患者治疗效果、临床指标、应激反应因子水平。结果:观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);观察组患者手术操作时间、术后下地时间、出院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组心率、肾上腺素水平、动脉压低于对照组,差异有统计学意义(P<0.05)。结论:将损伤性控制应用于肝外伤急诊手术中能显著提高患者的治疗效果,缩短手术操作时间、术后下地时间、出院时间,改善患者应激反应因子水平,促进患者康复。Objective:To analyze the clinical effect of injury control emergency operation on hepatic trauma.Methods:A total of one hundred and twenty patients with hepatic trauma who underwent surgical treatment in the Fangshan District First Hospita from January 2010 to January 2020 were selected as the observation objects,and were divided into control group and observation group according to random number table method,with sixty cases in each group.The control group received conventional emergency operation,and the observation group received injury control emergency operation.The therapeutic effect,clinical indexes and stress response factor levels were compared between the two groups.Results:The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The operation time,postoperative time and discharge time of observation group were shorter than control group,and the intraoperative blood loss was less than control group,the difference was statistically significant(P<0.05).The heart rate,adrenaline level and arterial depression in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The application of injury control emergency operation for hepatic trauma can significantly improve the therapeutic effect of patients,shorten the operation time,postoperative time to go to the ground,and discharge time,improve the level of stress response factors of patients,and promote the rehabilitation of patients.

关 键 词：急诊手术 肝外伤 损伤控制 

分 类 号：R47[医药卫生—护理学]