| 损伤控制骨科技术在严重多发伤中的应用 |
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| 引用本文： | 李永刚,唐海. 损伤控制骨科技术在严重多发伤中的应用[J]. 实用骨科杂志, 2010, 16(11): 801-804 |
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| 作者姓名： | 李永刚 唐海 |
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| 作者单位： | 首都医科大学附属复兴医院创伤中心,北京,100038 |
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| 摘 要： | 目的探讨损伤控制骨科（damage control orthopaedics,DCO）技术在严重多发伤中的应用。方法对2007年9月至2008年9月收治的24例严重多发伤患者应用DCO治疗并进行回顾性分析。结果脊柱骨折伴脊髓压迫4例,早期行简单的椎板切除减压术。骨盆骨折6例,早期骨盆外固定架固定,1例合并大出血行双侧髂内动脉结扎。四肢骨折22例,早期给予简单外固定,7例开放损伤行清创缝合术。术后均在ICU中复苏治疗,待生命体征平稳后再给予确定性手术。复苏期严重多发伤组患者体温、pH、凝血机能与一般多发伤组患者相比无明显差异。本组死亡3例,死亡率12.5%,死亡组创伤严重度评分4350分;1例胸部损伤死于严重创伤后多器官功能障碍综合征,2例重度颅脑损伤死于脑疝,并发症共8例,经过治疗均痊愈。结论对于严重多发伤患者合理应用DCO是安全有效的,可以提高严重多发伤患者生存率。
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| 关 键 词： | 损伤控制骨科 严重多发伤 骨折 |
The Feasibility and Efficacy of Damage Control Orthopaedics in Treating Severe Multiple Injuries |
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| LI Yong-gang,TANG Hai. The Feasibility and Efficacy of Damage Control Orthopaedics in Treating Severe Multiple Injuries[J]. Journal of Practical Orthopedics, 2010, 16(11): 801-804 |
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| Authors: | LI Yong-gang TANG Hai |
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| Affiliation: | LI Yong-gang,TANG Hai(Trauma Center of Fu Xing Hospital Affiliated Capital University of Medical Sciences,Beijing 100038,China) |
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| Abstract: | Objective To probe the feasibility and efficacy of damage control orthopaedics(DCO) in treating severe multiple injuries.Methods A retrospective analysis was done on clinical data of 24 cases with severe multiple injuries treated by DCO from 2007 to 2008.Results Simple laminectomy was used in four with spinal fractures combined with spinal cord compression.External fixation clamps for the pelvis was used in an early period in all 6 cases with fractures of the pelvis.Devascularization of internal iliac arter... |
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| Keywords: | damage control orthopaedic severe multiple injuries fracture |
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