中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
5期
66-67
,共2页
控制性外科%损伤%腹部
控製性外科%損傷%腹部
공제성외과%손상%복부
Control surgery%Damage%Abdomen
目的 探讨损伤控制性外科(DCS)治疗严重腹部创伤的临床价值,以总结手术经验.方法 本文对2002年7月至2009年7月采用损伤控制性外科原则治疗51例严重腹部创伤患者,综合手术资料和后续治疗的情况进行回顾性分析.控制出血是DCS的首要任务,控制污染是DCS的第2个主要目的 ,简化手术完成后患者送ICU,并立即开始继续复苏,所有患者72 h内均接受相应形式的再次确定性手术.结果 51例患者均经损伤控制性手术治疗.治愈42例(82.3%),再次手术术后出现腹腔脓肿2例(3.9%)、粘连性不全肠梗阻3例(5.9%),经保守治疗痊愈;死亡4例(7.8%),死亡原因与手术无明显关系.结论 符合DCS指征的严重腹部创伤的患者,应严格遵循损伤控制性外科原则,积极选择适宜的手术治疗方式,极力挽救患者生命.
目的 探討損傷控製性外科(DCS)治療嚴重腹部創傷的臨床價值,以總結手術經驗.方法 本文對2002年7月至2009年7月採用損傷控製性外科原則治療51例嚴重腹部創傷患者,綜閤手術資料和後續治療的情況進行迴顧性分析.控製齣血是DCS的首要任務,控製汙染是DCS的第2箇主要目的 ,簡化手術完成後患者送ICU,併立即開始繼續複囌,所有患者72 h內均接受相應形式的再次確定性手術.結果 51例患者均經損傷控製性手術治療.治愈42例(82.3%),再次手術術後齣現腹腔膿腫2例(3.9%)、粘連性不全腸梗阻3例(5.9%),經保守治療痊愈;死亡4例(7.8%),死亡原因與手術無明顯關繫.結論 符閤DCS指徵的嚴重腹部創傷的患者,應嚴格遵循損傷控製性外科原則,積極選擇適宜的手術治療方式,極力輓救患者生命.
목적 탐토손상공제성외과(DCS)치료엄중복부창상적림상개치,이총결수술경험.방법 본문대2002년7월지2009년7월채용손상공제성외과원칙치료51례엄중복부창상환자,종합수술자료화후속치료적정황진행회고성분석.공제출혈시DCS적수요임무,공제오염시DCS적제2개주요목적 ,간화수술완성후환자송ICU,병립즉개시계속복소,소유환자72 h내균접수상응형식적재차학정성수술.결과 51례환자균경손상공제성수술치료.치유42례(82.3%),재차수술술후출현복강농종2례(3.9%)、점련성불전장경조3례(5.9%),경보수치료전유;사망4례(7.8%),사망원인여수술무명현관계.결론 부합DCS지정적엄중복부창상적환자,응엄격준순손상공제성외과원칙,적겁선택괄의적수술치료방식,겁력만구환자생명.
Objective To discuss the clinical value of damage control surgery(DCS) treats the serious abdomen trauma,summarizes the surgery experience.Methods In this article from July 2002 to July 2009 we used the damage control surgical principle to treat 51 cases traumatic injury abdomen patients,the comprehensive surgery material and the following treatment' s situation carried on the review analysis.The first priority of DCS was hemorrhage control.The second purpose of DCS in first phase was contamination control Results 51 patients all apply the treatment of damage control surgery.Following the above simplified operation,patients were transferred to ICU for resuscitation.all patients accept the corresponding form once more definite surgery and had been done in 72 hours.Cures 42 cases(82.3%) ,after once more surgery technique,presents.the abdominal cavity abscess 2 cases (3.9%) ,the adhesion not entire intestinal obstruction 3 cases (5.9%) ,after conservative treatment healing; 4 cases died (7.8%) ,the cause of death had nothing to do with the surgery.Conclusion Conforms to the serious abdomen wound patient who DCS refers to drafts,should choose suitable the surgery to treat the way positively,follows the damage control surgical department principle strictly,saves the patient life vigorously.
