| 严重创伤院内早期救治中的损害控制外科 |
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| 引用本文： | 姚元章,张连阳,黄显凯. 严重创伤院内早期救治中的损害控制外科[J]. 创伤外科杂志, 2009, 11(2): 107-109 |
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| 作者姓名： | 姚元章 张连阳 黄显凯 |
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| 作者单位： | 第三军医大学大坪医院野战外科研究所全军战创伤中心,重庆,400042;第三军医大学大坪医院野战外科研究所全军战创伤中心,重庆,400042;第三军医大学大坪医院野战外科研究所全军战创伤中心,重庆,400042 |
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| 摘 要： | 目的探讨损害控制外科（damage control surgery，DCS）在严重创伤患者院内早期救治中的应用效果。方法对36例实施DCS危重伤员的救治资料进行了回顾性分析。结果采用暂时血管阻断或填塞止血30例（83．33％）；采用肠破裂修补、外置及造口术17例（47．22％）；采用快速关闭或暂时关闭体腔16例（44．44％）。31例在初期手术后72小时内进行了确定性手术，最终治愈27例，治愈率75．00％；死亡9例，病死率25．00％。结论严重创伤院内早期救治中，为避免因无能力接受医源性打击并出现“危险三角”，实施DCS；根据资源条件、生理参数、创伤类型及部位进行综合分析后加以选择，对降低手术风险和术后并发症具有重要的临床实用价值。
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| 关 键 词： | 创伤 急救 损害控制外科 |
Effect of damage control surgery in early remedy on patients with severe trauma |
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| YAO Yuan-zhang,ZHANG Lian-yang,HUANG Xian-kai. Effect of damage control surgery in early remedy on patients with severe trauma[J]. Journal of Traumatic Surgery, 2009, 11(2): 107-109 |
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| Authors: | YAO Yuan-zhang ZHANG Lian-yang HUANG Xian-kai |
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| Affiliation: | Center of War Wound and Trauma of PLA;Institute of Surgery Research;Daping Hospital;Third Military Medical University;Chongqing400042;China |
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| Abstract: | Objective To investigate the effect of damage control surgery(DCS) in early remedy on patients after serious traumatic injury.MethodsThirty-six patients with damage control surgery were analyzed retrospectively.ResultsTemporary clamping of blood vessel or packing hemostasia was used in 30 cases(83.33%).Repairing,exteriorizing,and neostomy of intestinal rupture were operated in 17 cases(47.22%).Rapid or temporary closing of cavity was done in 16 cases(44.44%).Deterministic operation within 72 hours after the... |
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| Keywords: | trauma first aid damage control surgery |
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