【摘要】 目的通过对严重创伤患者实施损伤控制方法和策略,探索在救治严重多发伤的新途径,提高严重创伤的抢救成功率。方法在对126例多发伤患者进行初步急救处理后,按照创伤严重评分(ISS)分成2组:严重创伤组(ISS≥16,行分期手术)和一般创伤组(ISS评分<16,行一期确定性手术)。指标监测按照"致死三联症",选择体温(T)、氧饱和度(SaO2)、凝血酶原(PT)、酸碱度(pH)进行对照研究。同时比较了2组术后并发症情况。结果一般创伤组和严重创伤组的T、SaO2、PT和pH进入复苏期的监测指标比较,差异无显著性(P>0.05);2组术后并发症比较,差异亦无显著性(P>0.05)。结论严重创伤组经过损伤控制性手术的救治,四项指标在复苏过程中满意且平稳,亦有效地控制了并发症。更多还原

【Abstract】 Objective To explore new treatment approach in order to increase the cure rate by application of damage control strategy on patient with severe multiple trauma.Methods According to the ISS wound grade,126 patients with multiple trauma,after initial first-aid treatment,were divided into a serious injury group(ISS≥16) for staged operation,and a general injury group(ISS < 16) for primary definitive operation.By referring to monitoring index of " lethiferous trilogy syndrome",a comparison was made between the two groups in terms of temperature(T),oxygenated hemoglobin saturations(SaO2),prothrombin time(PT),pH,as well as complications of operation.Results All patients underwent damage control operation and in resuscitation phase,T,SaO2,PT,PH,as well as complications of the two groups showed no statistical difference(P > 0.05).Conclusion The serious group,after undergoing damage control operation,has no statistical difference compared with the general group with regard to the four index signs at resuscitation phase.The resuscitative process is satisfactory and steady and complications of operation are also effectively under control.更多还原