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目的:探讨损伤控制外科(DCS)在严重胸外伤为主的全身多发伤救治中应用的临床效果。方法:2010年1月至2012年6月收治的57例患者采用早期全面治疗(ETC组),2012年7月至2013年12月收治的57例患者采用DCS理论救治(DCS组)。比较两组相关生理指标恢复情况及并发症的发生情况。结果:与ETC组比较,DCS组乳酸清除时间、体温恢复时间、PT和APTT恢复时间、住院时间、ICU治疗时间明显缩短,出血量明显减少(P<0.05);DCS组腹腔感染、ARDS、应激性溃疡的发生率及死亡率均较ETC组明显降低(P<0.05)。结论:严重胸外伤为主的全身多发伤救治中应用DCS理论可明显改善患者生理指标恢复,减少并发症,提高救治成功率。
Objective: To investigate the clinical effect of traumatic control surgery (DCS) in the treatment of severe multiple trauma with severe thoracic trauma. METHODS: Fifty-seven patients admitted to the ETC group from January 2010 to June 2012 were enrolled in this study. Fifty-seven patients admitted to DCS from July 2012 to December 2013 were treated with DCS. Compare the recovery of relevant physiological indexes and the occurrence of complications in the two groups. Results: Compared with ETC group, the lactic acid clearance time, body temperature recovery time, recovery time of PT and APTT, hospitalization time and ICU treatment time in DCS group were significantly shortened and the bleeding volume was significantly decreased (P <0.05) The incidence of acute ulcer and mortality were significantly lower than those in ETC group (P <0.05). Conclusion: The application of DCS theory in the treatment of systemic multiple trauma with severe thoracic trauma can significantly improve the recovery of patients’ physiological indices, reduce the complications and improve the success rate of treatment.