CAJ | 학술논문

目的：探讨手术治疗外伤性肝脾破裂的临床效果。方法将48例外伤性肝脾破裂患者根据治疗方法不同分为观察组（行损伤控制外科手术治疗）和对照组（行常规急诊手术治疗），各24例。比较两组临床治疗效果。结果观察组患者术中出血量少于对照组（ P ＜0．01），手术时间、术后卧床时间及住院总时间均短于对照组（ P ＜0．01）；观察组肾上腺素（E）、去甲肾上腺素（NE）、肾素（R）及血管紧张素Ⅱ（ATⅡ）均低于对照组（ P ＜0．01）；观察组 IgG、IgM、IgA 水平均高于对照组（ P ＜0．01）。结论损伤控制外科手术治疗有助于减小手术创伤、促进术后恢复、缓解应激反应、增强免疫功能，是外伤性肝脾破裂理想的治疗方法。
목적：탐토수술치료외상성간비파렬적림상효과。방법장48예외상성간비파렬환자근거치료방법불동분위관찰조（행손상공제외과수술치료）화대조조（행상규급진수술치료），각24례。비교량조림상치료효과。결과관찰조환자술중출혈량소우대조조（ P ＜0．01），수술시간、술후와상시간급주원총시간균단우대조조（ P ＜0．01）；관찰조신상선소（E）、거갑신상선소（NE）、신소（R）급혈관긴장소Ⅱ（ATⅡ）균저우대조조（ P ＜0．01）；관찰조 IgG、IgM、IgA 수평균고우대조조（ P ＜0．01）。결론손상공제외과수술치료유조우감소수술창상、촉진술후회복、완해응격반응、증강면역공능，시외상성간비파렬이상적치료방법。
Objective To study the effect of operational treatment in traumatic liver and spleen rupture and application value of damage control surgery.Methods Forty-eight patients with traumatic liver and spleen rupture were enrolled and divided into obser -vation group ( n =24) undergoing damage control surgery and control group ( n =24) undergoing conventional emergency operation . Clinical efficacy of the two groups were compared .Results The operation time,blood loss volume,bed time,hospitalization time of the observation group were less than those in control group ( P <0.01)and adrenaline,noradrenaline,renin,angiotensin Ⅱ levels of the ob-servation group were lower than those in control group ( P <0.01); but IgG,IgM,IgA levels were higher than those of control group (P <0.01).Conclusion The damage control surgery is an ideal therapy method in treating traumatic liver and spleen rupture be -cause it is less invasive and effective, which can promote postoperative recovery , enhance immune function and relieve stress .