CAJ | 학술논문

严重腹部创伤，常并发休克，出现严重的生理功能紊乱和机体代谢功能的失调，导致患者出现低温、酸中毒和凝血障碍三联征，处于生命极限状态，不能忍受长时间的确定性手术。此时应用损伤控制性外科（ DCS）理念，不追求手术的一次性成功，而通过各种暂时性措施维持患者最基本的生命状态，通过复苏纠正各种代谢紊乱，提高患者耐受确定性手术的能力，最后通过确定性手术或分次的确定性手术来挽救患者的生命，方可提高救治成功率。
엄중복부창상，상병발휴극，출현엄중적생리공능문란화궤체대사공능적실조，도치환자출현저온、산중독화응혈장애삼련정，처우생명겁한상태，불능인수장시간적학정성수술。차시응용손상공제성외과（ DCS）이념，불추구수술적일차성성공，이통과각충잠시성조시유지환자최기본적생명상태，통과복소규정각충대사문란，제고환자내수학정성수술적능력，최후통과학정성수술혹분차적학정성수술래만구환자적생명，방가제고구치성공솔。
Severe abdominal trauma is usually complicated with hypovolemic shock ,severely physiopatholo-gy disorder and functional disorders of metabolism ,thus leading to the blood vicious cycle ( hypothemia ,acidosis and coagulopathy) and making patients not tolerate the long-time surgery.In order to improve the treatment success rate,damage control surgery is applied to maintain patients ’ basic life state, correct patients ’ metabolic disorder through resuscitation ,improve patients ’ tolerance to surgery and then save patients ’ lives by definitive surgery or staged operations .