CAJ | 학술논문

目的探讨损伤控制性手术(damage control surgery,DCS)在治疗严重肝外伤中的临床应用.方法通过回顾性分析在2000-04～2008-09间我院采用损伤控制性手术治疗出现血流动力学不稳定、低体温、代谢性酸中毒和凝血障碍等情况的26例严重肝外伤(Ⅲ～Ⅵ级)患者的临床资料,总结出严重肝外伤应用损伤控制性手术的适应证、并发症和死亡率.结果 26例患者中痊愈21例(治愈率80.2%),死亡5例(死亡率为19.2%),术后共17例发生了各种并发症(占65.4%).结论对于严重肝外伤出现血流动力学不稳、低体温、代谢性酸中毒和凝血障碍等情况时选择损伤控制性手术不失为比较安全的、稳妥的手术方法,可有效地降低严重肝外伤的死亡率和并发症发生率.
목적 탐토손상공제성수술(damage control surgery,DCS)재치료엄중간외상중적림상응용.방법 통과회고성분석재2000-04～2008-09간아원채용손상공제성수술치료출현혈류동역학불은정、저체온、대사성산중독화응혈장애등정황적26례엄중간외상(Ⅲ～Ⅵ급)환자적림상자료,총결출엄중간외상응용손상공제성수술적괄응증、병발증화사망솔.결과 26례환자중전유21례(치유솔80.2%),사망5례(사망솔위19.2%),술후공17례발생료각충병발증(점65.4%).결론 대우엄중간외상출현혈류동역학불은、저체온、대사성산중독화응혈장애등정황시선택손상공제성수술불실위비교안전적、은타적수술방법,가유효지강저엄중간외상적사망솔화병발증발생솔.
Objective To discuss the clinical significance of damage control surgery(DCS) in the treatment of severe liver trauma.Methods To analyze retrospectively the clinical data of 26 cases with severe liver trauma(Ⅲ～Ⅵ) who had the complications of hemodynamic instability, hypothermia, metabolic acidosis, blood coagulation disturbance from April 2000 to September 2008 in order to sum up the operative indication, complications, mortality rate of DCS.Results In 26 cases, 21 cases were cured, 5 cases died.Cure rate was 80.8%, mortality was 19.2%.17 cases had complications (65.4%).Conclusion DCS is a safe and reliable operative methods for the severe liver trauma cases with complications and it can effectively lower complications and mortality rate.