严重创伤救治的损害控制外科策略

严重创伤后，常出现严重的生理功能紊乱和机体代谢功能障碍，导致低体温、凝血病、代谢性酸中毒等“致命三联征”，机体因生理功能耗竭而不能承受长时间的确定性手术。在严重创伤患者抢救中，适时实施损害控制外科策略，通过采取各种快速、有效的暂时性措施，维持患者基本的生命功能，再进入ICU进行复苏和纠正生理功能紊乱，有计划地分次进行确定性治疗，对降低死亡率、提高救治成功率具有重要的临床实用价值。

Damage control surgery strategy for treating patients with severe trauma

Severe trauma patients often occur severe physiological disorders and metabolism dysfunction, leading to the ＂deadly triad＂ of hypothermia, coagulopathy and metabolic acidosis. Patients can＇ t withstand long time surgery due to the poor physiological functions of the body. The strategy of damage control surgery is to main tain the patients＇ basic life functions through a variety of fast and effective temporary measures,then conduct resus citation and correct physiological dysfunction in ICU and finally to perform the definitive treatment. During rescuing the severe trauma patients,applying the strategy of damage control surgery can reduce mortality and improve the treatment success rate.