当代医学
噹代醫學
당대의학
CHINA CONTEMPORARY MEDICINE
2014年
2期
7-8
,共2页
损伤控制%严重腹部创伤%治疗效果
損傷控製%嚴重腹部創傷%治療效果
손상공제%엄중복부창상%치료효과
Damage control surgery%Severe abdominal trauma%Therapeutic efficacy
目的：探讨损伤控制手术在严重腹部创伤救治中的应用价值。方法回顾性分析2000年1月-2013年3月82例严重腹部外伤的患者资料，行损伤控制性手术34例（DCS组），确定性手术48例，比较两组的死亡率和总并发症发生率。结果确定性手术组、DCS组病死率分别为35.4％、14.7％，差异有统计学意义(P<0.05)；确定性手术组、DCS组总并发症发生率分别为31.3％、32.4％，差异无统计学意义(P＞0.05)。结论 DCS能有效降低严重腹部创伤患者的病死率，改善患者预后。
目的：探討損傷控製手術在嚴重腹部創傷救治中的應用價值。方法迴顧性分析2000年1月-2013年3月82例嚴重腹部外傷的患者資料，行損傷控製性手術34例（DCS組），確定性手術48例，比較兩組的死亡率和總併髮癥髮生率。結果確定性手術組、DCS組病死率分彆為35.4％、14.7％，差異有統計學意義(P<0.05)；確定性手術組、DCS組總併髮癥髮生率分彆為31.3％、32.4％，差異無統計學意義(P＞0.05)。結論 DCS能有效降低嚴重腹部創傷患者的病死率，改善患者預後。
목적：탐토손상공제수술재엄중복부창상구치중적응용개치。방법회고성분석2000년1월-2013년3월82례엄중복부외상적환자자료，행손상공제성수술34례（DCS조），학정성수술48례，비교량조적사망솔화총병발증발생솔。결과학정성수술조、DCS조병사솔분별위35.4％、14.7％，차이유통계학의의(P<0.05)；학정성수술조、DCS조총병발증발생솔분별위31.3％、32.4％，차이무통계학의의(P＞0.05)。결론 DCS능유효강저엄중복부창상환자적병사솔，개선환자예후。
Objective To explore the application value of damage control surgery operation in treating severe abdominal trauma.Methods From January 2000 to March 2013, 82 patients with abdominal trauma in our hospita1 were analyzed retrospectively. 34 of 82 cases were operated with damage control surgery (DCS group),48 cases were given deterministic operation, two groups were all severe abdominal trauma patients. The incidence of complications and mortality rate were compared between damage control surgery and a deterministic operation. Results The mortality rates of group control and group DCS were respectively 35.4%,14.7%,the difference was statistically significant (P<0.05).Total complication rates of group control and group DCS were respectively 31.3%,32.4%, the difference was no significant (P>0.05).Conclusion The damage control surgery can reduce the mortality rate of patients with severe abdominal trauma and improve effectively pronosis.
