【作者】 杨帆； 白祥军； 刘开俊； 唐朝晖； 易成腊； 廖忆刘；

【Author】 YANG Fan BAI Xiang-jun LIU Kai-jun. (Department of Traumatic Surgery,Affiliated Tongji hospital,Tongji medical college,HuaZhong University of Science and Technology;Wuhan,430030,China)

【机构】 华中科技大学同济医学院附属同济医院创伤外科；

【摘要】 目的研究在严重多发伤救治中应用损伤控制理论对并发症早期防治的临床效果。方法对我院创伤外科116例严重多发伤患者进行回顾性分析,比较损伤控制组和常规方式组间生理指标的变化、并发症的发生情况以及相关因素同预后的关系。结果损伤控制组患者较常规方式组生理指标恢复正常所需时间显著缩短,并发症发生率显著降低,病死率显著降低(P<0.01);病死率同影响因素的变化显著性相关(P<0.05)。结论在多发伤救治中早期应用损伤控制理论能显著降低并发症发生率和患者病死率,其相关影响因素能独立预测多发伤患者预后,对严重多发伤救治中进行早期干预、提高救治水平具有临床指导意义。更多还原

【Abstract】 Objective To investigate the clinical therapeutical effect of damage control theory in early prevention and treatment of complication after severe multiple injury.Methods 116 patients were divided into damage control group and conventional group,and retrospectively compared with variation of the physiological index,occurrence of complication,and associativity of correlative factors with prognosis between two groups. Results The recovery time of physiological index in damage control group were shorter and incidence rate of complication were lower than these in conventional group.Also,mortality rote in damage control group was less than these in conventional group (P<0.01).There were significant associativity of influencial factors with mortality rate between two groups (P<0.05).Conclusions The early management of damage control surgery could obviously decrease the incidence rate of complication and mortality rate in multiple injury treatment,and influencial factors could independently predict the prognosis of patients,will be benefit to carry out early intervention,therefore improve the treatment ability in severe multiple injury.更多还原