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严重肾脏外伤合并严重多发伤尤其伴有肾蒂等大血管伤的病人若未经及时救治,很快就会休克、死亡,故重度肾损伤或保守治疗无效时需要及时手术治疗[1]。损伤控制外科(damage control surgery,DCS)即先控制危及生命的原发性损伤,维持机体内环境稳定,使病人安全度过创伤急性反应期,以后再行二次确定性手术治疗,可进一步提高危重创伤的抢救成功率[2]。2008年6月至2011年6月收治严重肾脏创伤,需要手术治疗的8例,均用损伤控制技术施救取得了较好的效果,现报告如下。
Severe renal trauma with severe multiple injuries, especially with renal pedicle and other macrovascular injuries in patients without timely treatment, shock and death will soon, so the need for timely treatment of severe renal injury or conservative treatment ineffective [1]. Damage control surgery (DCS) is to first control the life-threatening primary injury, maintain the stable environment in the body, and make the patient safely pass the acute reaction period of trauma. After that, the second definite surgical treatment can be further improved Severe traumatic rescue success rate [2]. From June 2008 to June 2011, 8 cases of severe renal trauma who needed surgery were treated with injury control techniques and achieved good results. The report is as follows.