CAJ | 학술논문

目的：探讨损伤控制性手术对严重腹部损伤患者的治疗价值。方法对2009-08～2013-06间采用DCS救治的34例严重腹部损伤患者，观察其在复苏前后的体温、pH值、血乳酸水平和凝血酶原时间（ PT）的变化情况，以及接受确定性手术以后的恢复情况。结果经过损伤控制性手术救治和复苏，患者的体温、pH值、血乳酸水平和PT值均明显改善，与复苏前相比差异有统计学意义，均为P＜0.05。34例患者均接受Ⅱ期确定性手术，29例治愈出院，占85.29％，死亡5例，占14.71％。结论应用损伤控制性手术治疗严重腹部损伤效果良好，虽然仍有问题需要解决，但值得临床推广。
목적：탐토손상공제성수술대엄중복부손상환자적치료개치。방법대2009-08～2013-06간채용DCS구치적34례엄중복부손상환자，관찰기재복소전후적체온、pH치、혈유산수평화응혈매원시간（ PT）적변화정황，이급접수학정성수술이후적회복정황。결과경과손상공제성수술구치화복소，환자적체온、pH치、혈유산수평화PT치균명현개선，여복소전상비차이유통계학의의，균위P＜0.05。34례환자균접수Ⅱ기학정성수술，29례치유출원，점85.29％，사망5례，점14.71％。결론응용손상공제성수술치료엄중복부손상효과량호，수연잉유문제수요해결，단치득림상추엄。
Objective To explore the therapeutic value of damage control surgery on serious abdominal injury .Methods 34 serious abdominal patients were remedy of DCS from August , 2009 to June, 2013.The body temperature, pH, lactate levels and PT values were compared before and after resuscitation .The recover condition was also observed .Results The body temperature , pH, lactate levels and PT values were improved obviously .There was significance difference between them , P <0.05.All the patients received determinacy operation and 29 of them cured, and the cure rate was 85.29%.But 5 of them died, and the mortality was 14.71%.Conclusion Damage control surgery has excellent therapeutic effect on serious abdominal injury and is worth popularizing .