CAJ | 학술논문

目的：探讨损伤控制外科技术在腹部严重腹创伤患者急救中的应用效果。方法选取2012年4月至2014年4月我院收治的80例腹部严重创伤患者作为研究对象，并对其临床资料进行回顾性分析，将其分为对照组和观察组，每组患者各为40例。对对照组的患者采用常规确定性方法进行治疗，对观察组的患者采用损伤控制外科技术进行治疗。然后对两组患者治疗前后的并发症发生率和死亡率进行进行比较分析。结果对照组患者的并发症发生率和死亡率分别为65%和35%，观察组患者的并发症发生率和死亡率分别为22.5%和10%。对照组患者的并发症发生率和死亡率均明显高于观察组患者，差异显著（P<0.05）有统计学意义。结论应用损伤控制外科技术对腹部严重创伤患者进行急救和治疗效果显著，此法值得在临床上推广应用。
목적：탐토손상공제외과기술재복부엄중복창상환자급구중적응용효과。방법선취2012년4월지2014년4월아원수치적80례복부엄중창상환자작위연구대상，병대기림상자료진행회고성분석，장기분위대조조화관찰조，매조환자각위40례。대대조조적환자채용상규학정성방법진행치료，대관찰조적환자채용손상공제외과기술진행치료。연후대량조환자치료전후적병발증발생솔화사망솔진행진행비교분석。결과대조조환자적병발증발생솔화사망솔분별위65%화35%，관찰조환자적병발증발생솔화사망솔분별위22.5%화10%。대조조환자적병발증발생솔화사망솔균명현고우관찰조환자，차이현저（P<0.05）유통계학의의。결론응용손상공제외과기술대복부엄중창상환자진행급구화치료효과현저，차법치득재림상상추엄응용。
objective to explore the technology of damage control surgery in severe abdominal trauma in the clinical application value. Methods select 80 cases of severe abdominal trauma patients as the research object, and randomly divided into control group and observation group, 40 cases in each group. Control group using conventional deterministic treatment, the observation group was treated with damage control surgery technique. Comparative analysis of two groups of patients with complications of total incidence and mortality. Results total incidence was 65.00% in the control group complications, mortality was 35.00%; The corresponding values of observation group was 22.50%, 22.50% respectively. The control of the total incidence of complications and mortality were significantly higher than the observation group, and the difference is statistically significant (P < 0.05). Conclusion damage control surgery technique in severe abdominal trauma emergency effect is significant, worthy of clinical popularization and application.