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损害控制理论在严重多发伤合并休克救治中的应用
引用本文:杨帆,白祥军,刘开俊,宋先舟,田利华,汤曼力. 损害控制理论在严重多发伤合并休克救治中的应用[J]. 创伤外科杂志, 2009, 11(1): 4-7
作者姓名:杨帆  白祥军  刘开俊  宋先舟  田利华  汤曼力
作者单位:华中科技大学同济医学院附属同济医院创伤外科,湖北,武汉,430030;华中科技大学同济医学院附属同济医院创伤外科,湖北,武汉,430030;华中科技大学同济医学院附属同济医院创伤外科,湖北,武汉,430030;华中科技大学同济医学院附属同济医院创伤外科,湖北,武汉,430030;华中科技大学同济医学院附属同济医院创伤外科,湖北,武汉,430030;华中科技大学同济医学院附属同济医院创伤外科,湖北,武汉,430030
摘    要:目的研究损害控制理论在严重多发伤合并休克救治中应用的临床效果。方法对116例严重多发伤合并休克患者进行临床分析,比较损害控制组和常规方式两组间“致死性三联征”和其他相关生理指标恢复情况及与患者预后的关系。结果损害控制组患者重要生理指标恢复正常的时间较常规方式组显著性缩短,术后指标值较常规方式组更接近正常值,且病死率较常规方式组低(P〈0.01)。结论在严重多发伤合并休克救治中应用损害控制理论能明显改善患者生理指标恢复,提高生存率。

关 键 词:多发伤  损害控制  休克  三联征

Management of damage control theory in severe multiple injury with shock resuscitation
YANG Fan,BAI Xiang-jun,LIU Kai-jun,et al.. Management of damage control theory in severe multiple injury with shock resuscitation[J]. Journal of Traumatic Surgery, 2009, 11(1): 4-7
Authors:YANG Fan  BAI Xiang-jun  LIU Kai-jun  et al.
Affiliation:Department of Traumatic Surgery;Affiliated Tongji Hospital;Tongji Medical College;Huazhong University of Science and Technology;Wuhan430030;China
Abstract:ObjectiveTo investigate the clinical therapeutical effect of damage control theory in severe multiple injury with shock resuscitation.MethodsA total of 116 patients were divided into damage control group and conventional group,and the recovery time of lethal triad of death and other physiological index in both groups were compared.ResultsThe recovery time of important physiological index in damage control group was shorter than that in conventional group.The value of physiological index after operation in d...
Keywords:multiple injury  damage control  shock  triad syndrome  
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