CAJ | 학술논문

目的探讨损伤控制外科(DCS)理念在外伤性纵裂血肿(TISH)治疗中的应用.方法回顾性分析采用DCS理念救治的10例TISH患者的临床资料,总结应用DCS理念救治TISH的适应证、并发症.结果 10例患者中2例行保守治疗,4例行开颅手术,4例行钻孔引流术.按格拉斯哥预后量表评分法,9例恢复良好,1例轻度残疾.结论应用DCS理念,选择恰当的手术方式,结合后期的一体化治疗不失为比较安全、稳妥的救治方法,可有效地降低TISH的病死率和并发症发生率.
목적 탐토손상공제외과(DCS)이념재외상성종렬혈종(TISH)치료중적응용.방법 회고성분석채용DCS이념구치적10례TISH환자적림상자료,총결응용DCS이념구치TISH적괄응증、병발증.결과 10례환자중2례행보수치료,4례행개로수술,4례행찬공인류술.안격랍사가예후량표평분법,9례회복량호,1례경도잔질.결론 응용DCS이념,선택흡당적수술방식,결합후기적일체화치료불실위비교안전、은타적구치방법,가유효지강저TISH적병사솔화병발증발생솔.
Objective To discuss the application of damage control surgery (DCS) in thetreatment of traumatic interhemispheric subdural hematoma (TISH).Methods The clinical data of 10 TISH patients who were treated with DCS were reviewed retrospectively.To summarize the concept and complications of DCS in treatment of TISH.Results All of 10 patients,2 underwent conservative treatment,4 underwent surgical operation,4 routine borehole drainage.According to Glasgow outcome score method,9 cases recovered well,1 case had mild disability.Conclusions Application of damage control surgery,chosing the right operation method,combining with the integration in the late treatment is safe,reliable method of treatment,can effectively reduce the mortality and complication rates of TISH.