| 余灵祥 张绍庚 郭晓东 肖朝辉 凌海慧 赵德希 吴建中 张培瑞 李志伟.损伤控制性手术在野战条件下腹部严重创伤治疗中的应用价值[J].,2014,14(21):4060-4062 |
| 损伤控制性手术在野战条件下腹部严重创伤治疗中的应用价值 |
| Clinical Value of the Damage Control Operation Applied to the TraumaticSurgery in the CS |
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| DOI： |
| 中文关键词: 腹部创伤 损伤控制 野战外科 应用价值 |
| 英文关键词: Traumatic surgery Damage control operation Field operation Application value |
| 基金项目:北京市科技计划首都临床特色应用研究专项（Z131100004013041）；解放军第302医院院内课题（YNKT2013018） |
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| 中文摘要: |
| 目的：损伤控制性手术(Damage Control Operation, DCO)是针对严重创伤患者进行阶段性修复的外科策略，本文通过观察
DCO在野战条件下严重腹部创伤治疗中的效果，探讨其应用价值，为野战外科手术提供参考。方法：对2012 年2 月-2013 年3 月
我院收治的90 例重症肝胆外伤患者的临床资料进行回顾性分析。将所选病例随机分为对照组和DCO 组，每组45 例。其中对照
组实施常规手术治疗，DCO 组实施损伤控制性手术进行治疗。对比两组患者的手术时间，术中出血量、死亡率、术后感染及并发症
等。结果：DOC组手术时间为(62.59± 8.61) min，术中出血量为(306.48± 23.54) mL，死亡率为20%，术后感染率为8.89%，并发症的
发生率为11.11%；对照组术时间为(90.35± 7.86) min，术中出血量为(600.32± 34.21) mL，死亡率为53.33%，术后感染率为
24.44%，并发症的发生率为35.56%；DCO组患者的各项指标均优于对照组，差异显著且具有统计学意义(P<0.05)。结论：在肝胆外
科治疗中采用损伤控制性手术具有明显的临床效果，不但缩短了手术时间，减少出血量，提高手术成功率，而且降低了术后并发
症的发生率，值得推广。 |
| 英文摘要: |
| Objective:The damage control operation is a clinical strategy which is devoted to reconstructing the open injuries of
patients for a period of time. This article aims to observe the application value of damage control operation on the hepatobiliary surgery in
order to make a reference to clinical.Methods:A retrospective analysis was performed about the clinical data of 90 patients with severe
liver injury who were treated in our hospital from February 2012 to March 2013. The selected patients were divided into the control
group and the DCO group with 45 in each one. The patients in the control group were received the routine operation method, while the
patients in the DCO group were treated by the damage control operation. Then the operation time, the blood loss, the rate of death, the
incidence of infection and complications after the operation were compared and analyzed between two groups.Results:In the DCO
group, the operation time was(62.59± 8.61) min, the blood loss was(306.48± 23.54) mL, the death rate was 20%, the infection rate was
8.89% and the incidence of complications was 11.11%; In the control group, the operation time was (90.35± 7.86) min, the blood loss
was (600.32± 34.21) mL, the death rate was 53.33%, the infection rate was 24.44%and the incidence of complications was 35.56%; The
indicators of the DCO group were significantly better than those of the control group with statistically significant differences(P<0.05).Conclusion:The damage control operation is worthy of promoting to the clinical field with the advantages of obvious efficacy, shorter
time for operation, less blood loss, higher rate of success as well as the lower incidence of infection and complications after the surgeries. |
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