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损伤控制外科技术在急诊外科多发伤救治中的效果观察

Effect observation of injury control surgical technique in emergency treatment of multiple trauma of emergency surgery

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【作者】 林琳刘尉王聪敏李衡昌

【Author】 LIN Lin;LIU Wei;WANG Congmin;Emergency of Department,The Huangpu People’s Hospital of Zhongshan City;

【机构】 中山市黄圃人民医院急诊科

【摘要】 目的:探讨损伤控制外科技术在急诊外科多发伤患者中救治效果。方法:选取60例多发伤患者,随机分为干预组30例(损伤控制外科技术救治)和传统组30例(传统方法救治),比较两组患者救治效果及并发症发生情况。结果:干预组患者手术时间长于传统组,术中出血量少于传统组,体温恢复时间、乳酸恢复时间、凝血功能恢复时间短于传统组,两组比较差异有统计学意义(P<0.05)。干预组患者抢救成功率高于传统组,DIC、休克及MODS发生率低于传统组,两组比较差异有统计学意义(P<0.05)。结论:损伤控制外科技术在急诊外科多发伤患者救治中可提高临床疗效,降低相关并发症发生率,改善患者预后。

【Abstract】 Objective: To explore the effect of injury control surgery in emergency surgical patients with multiple trauma.Methods: 60 case of multiple trauma patients were selected and randomly divided them into intervention group(injury control surgical treatment,30 cases) and the traditional group(the traditional method of treatment,30 cases).The treatment efficacy and the occurrence of complications were compared between the two groups of patients.Results: In the intervention group,the operation time was longer and the bleeding amount was less than that of the traditional group,the recovery time of body temperature,lactic acid and coagulation function was shorter than that of the traditional group with statistical significance(P < 0.05).The success rate of intervention group was higher than the traditional group.DIC,shock and MODS in the intervention group was lower than that of the traditional group with statistical significace(P<0.05).Conclusion: Injury control surgery technique can improve clinical efficacy,reduce the incidence of related complications,and improve the prognosis of patients with multiple trauma.

【基金】 中山市医学科研项目资助(2016A20208)
  • 【文献出处】 华夏医学 ,Acta Medicinae Sinica , 编辑部邮箱 ,2017年06期
  • 【分类号】R641
  • 【被引频次】8
  • 【下载频次】43
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