中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
3期
55-57
,共3页
损伤控制%严重腹部创伤%三联征%ICU 复苏
損傷控製%嚴重腹部創傷%三聯徵%ICU 複囌
손상공제%엄중복부창상%삼련정%ICU 복소
Damage control%Severe abdominal trauma%Triad%ICU recovery
目的:探讨损伤控制外科手术治疗严重腹部创伤的临床效果.方法:设立 DCS 组(52例),对照组(45例),两组均为严重腹部创伤患者,DCS 组采用 DCS 手术治疗,对照组常规确定性手术后 ICU 复苏治疗,比较两组的死亡率和总并发症发生率.结果:对照组、DCS 组死亡率分别为37.8%、13.5%,比较差异有统计学意义(P<0.05);对照组、DCS 组总并发症发生率分别为71.1%、34.6%,比较差异有统计学意义(P<0.05).结论:合适 DCS 治疗方式能有效降低严重腹部创伤患者的死亡率和总并发症的几率.
目的:探討損傷控製外科手術治療嚴重腹部創傷的臨床效果.方法:設立 DCS 組(52例),對照組(45例),兩組均為嚴重腹部創傷患者,DCS 組採用 DCS 手術治療,對照組常規確定性手術後 ICU 複囌治療,比較兩組的死亡率和總併髮癥髮生率.結果:對照組、DCS 組死亡率分彆為37.8%、13.5%,比較差異有統計學意義(P<0.05);對照組、DCS 組總併髮癥髮生率分彆為71.1%、34.6%,比較差異有統計學意義(P<0.05).結論:閤適 DCS 治療方式能有效降低嚴重腹部創傷患者的死亡率和總併髮癥的幾率.
목적:탐토손상공제외과수술치료엄중복부창상적림상효과.방법:설립 DCS 조(52례),대조조(45례),량조균위엄중복부창상환자,DCS 조채용 DCS 수술치료,대조조상규학정성수술후 ICU 복소치료,비교량조적사망솔화총병발증발생솔.결과:대조조、DCS 조사망솔분별위37.8%、13.5%,비교차이유통계학의의(P<0.05);대조조、DCS 조총병발증발생솔분별위71.1%、34.6%,비교차이유통계학의의(P<0.05).결론:합괄 DCS 치료방식능유효강저엄중복부창상환자적사망솔화총병발증적궤솔.
Objective:To discuss clinical effect of damage control surgery operation in treating severe abdominal trauma.Method:We set up group DCS(52 cases)and group control(45 cases),two groups were all severe abdominal trauma patients.Group DCS was treated with DCS concept and group control was treated by conventional deterministic operation and ICU recoved after treatment.Result:The mortality rates of group control and group DCS were respectively 37.8%,13.5%,the difference was statistically significant(P<0.05).Total complication rates of group control and group DCS were respectively 71.1% and 34.6%,the difference was statistically significant(P<0.05).Conclusion:Suitable DCS treatment can effectively reduce the mortality rate of patients with severe abdominal trauma and the probability of total complications.
