| 何刚 单远洲 刘海林 王洪斌 姜志标.损伤控制外科在严重胸外伤为主的全身多发伤救治中的应用[J].,2015,15(30):5858-5860 |
| 损伤控制外科在严重胸外伤为主的全身多发伤救治中的应用 |
| Application of Damage Control Theory for Severe Thoracic Injuries withMultiple Trauma |
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| DOI： |
| 中文关键词: 损害控制外科 多发伤 胸外伤 并发症 |
| 英文关键词: Damage control theory Multiple trauma Severe thoracic injuries Complication |
| 基金项目:上海市奉贤区科学技术发展基金项目（奉科20141302） |
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| 中文摘要: |
| 目的：探讨损伤控制外科(DCS)在严重胸外伤为主的全身多发伤救治中应用的临床效果。方法：2010 年1 月至2012 年6 月
收治的57 例患者采用早期全面治疗（ETC 组），2012 年7 月至2013 年12 月收治的57例患者采用DCS 理论救治（DCS 组）。比
较两组相关生理指标恢复情况及并发症的发生情况。结果：与ETC 组比较，DCS组乳酸清除时间、体温恢复时间、PT 和APTT 恢
复时间、住院时间、ICU治疗时间明显缩短，出血量明显减少(P<0.05)；DCS 组腹腔感染、ARDS、应激性溃疡的发生率及死亡率均
较ETC组明显降低（P<0.05）。结论：严重胸外伤为主的全身多发伤救治中应用DCS 理论可明显改善患者生理指标恢复，减少并
发症，提高救治成功率。 |
| 英文摘要: |
| Objective:To explore the effect of damage control theory (DCS) for severe thoracic injuries with multiple trauma.Methods:57 patients with severe thoracic injuries with multiple trauma admitted from January 2010 to June 2012 were treated with early
total care (ETC group), and another 57 patients admitted from July 2012 to December 2013 were treated with damage control theory
(DCS group). The physiological index and complications in both groups were compared.Results:Compared with ETC group, the
removal time of lactic acid, temperature recovery time, PT and APTT recovery time, hospital stay, ICU treatment time were significantly
shortened, and blood loss was decreased significantly in DCS group (P<0.05). The incidence of abdominal cavity infection, ARDS, stress
ulcer and mortality of DCS group were significantly lower than those of ETC group (P<0.05).Conclusion:DCS for severe thoracic
injuries with multiple trauma could obviously improve the recovery of physiological index, reduce the complications and improve success
rate. |
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