CAJ | 학술논문

目的：研究损伤控制复苏（ damage control resuscitation，DCR）在急性创伤性凝血病（ acute tramautic coagulopathy， ATC）患者中的临床疗效。方法：将ATC患者124例分为三组，其中两组为DCR组，分别以3：1、1：1比例的红悬液（ PRBC）和冰冻血浆（ FFP）为主要复苏液体，另一组为对照组，以PRBC为主要复苏液体，比较三组4d内PRBC用量、预后指标及凝血指标。结果：采用DCR救治ATC患者疗效良好，PRBC用量少，凝血功能恢复好，DIC发病率及病死率显著降低，与对照组比较，差异有统计学意义，且1：1组各项指标及预后优于3：1组。结论：采用DCR能够快速改善ATC凝血指标，改善患者预后，提高生存率，推荐复苏液比例为1：1。
목적：연구손상공제복소（ damage control resuscitation，DCR）재급성창상성응혈병（ acute tramautic coagulopathy， ATC）환자중적림상료효。방법：장ATC환자124례분위삼조，기중량조위DCR조，분별이3：1、1：1비례적홍현액（ PRBC）화빙동혈장（ FFP）위주요복소액체，령일조위대조조，이PRBC위주요복소액체，비교삼조4d내PRBC용량、예후지표급응혈지표。결과：채용DCR구치ATC환자료효량호，PRBC용량소，응혈공능회복호，DIC발병솔급병사솔현저강저，여대조조비교，차이유통계학의의，차1：1조각항지표급예후우우3：1조。결론：채용DCR능구쾌속개선ATC응혈지표，개선환자예후，제고생존솔，추천복소액비례위1：1。
Objective To investigate the clinical value of damage control resuscitation( DCR)in the treatment of patients with acute traumatic cogulopathy( ATC). Method 124 patients with ATC were divided into three groups,two DCR groups and one control group. The DCR group 1 received the ratio of 3 packed red blood cells( PRBC)to 1 frozen fresh plasma( FFP)and the DCR group 2 received the ra-tio of 1 PRBC to 1 FFP. The control group only received PRBC. 4d PRBC dosage,prognostic indicators,and coagulation indicators were compared among the three groups. Results After receiving DCR treatment,the patients with ATC needed less PRBC,had better clotting fuc-tion and prognostic indicators,with less DIC morbidity and mortality. The 1:1 group also had better prognostic indicators than the 3:1 group. Conclusion The DCR can improve the prognosis of ATC patients,and the resuscitation fluid is recommended as the ratio of 1:1.