损伤控制性手术在47例严重腹部创伤中的应用

目的 探讨损伤控制性手术(DCS)在治疗严重腹部创伤中的临床价值并总结经验.方法 回顾性分析采用DCS救治47例严重腹部创伤患者的情况.结果 全组治愈41例(87.23%),再次手术术后出现肝脓肿3例(6.38%),肠瘘、胆瘘、胰瘘各1例(各为2.13%),经保守治疗痊愈,死亡6例(12.77%),死亡原因均与手术无关.结论 对于严重腹部创伤患者积极采用DCS,是安全有效的,具有临床实用价值.

Application and clinical analysis of 47 cases of damage control surgery in severe abdominal trauma

Objective To investigate the damage control surgery(DCS)in the treatment of severe abdominal trauma and the clinical value of learning from experience.Method Forty-severl cases of severe abdominal trauma patients treated with DCS were analyzed retrospectively.Results Forty-one cases (87.23%)were cured,liver abscess after re-operation was 3 cases(6.38%),intestinal fistula,biliary fistula,pancreatic fistula was 1 case(each 2.13%),they were cured by conservative treatment,6 cases(12.77%)were died,the causes of death were nothing to do with the surgery.Conclusion For patients with severe abdominal trauma actively adopt DCS,is safe and effective,with clinical value.