损伤控制理论对野战卫勤保障的影响

目的 探讨在战创伤早期即采用损伤控制性外科（damage control surgery,DCS）理念并形成临床路径,为改善我军战伤救治进行尝试.方法 2007-2012年收治的按DCS纳入的严重多发伤患者,86例采用整体DCS,56例仍按传统DCS进行救治,对两组的病死率及并发症发生率进行对比.结果 传统DCS组的病死率及并发症发生率均显著高于整体DCS组（P＜0.01）.结论 严重多发伤的患者,应尽早积极实施整体DCS,有利于伤员的高效、批量的救治,最大限度地提高战伤救治能力和野战卫勤保障能力.

Effect of damage control surgery on hygienic guarantee

Objective Severe and multi-intestinal injuries were obviously increased in modern wars. To explore use the Dam- age Control Surgery （DCS） early in war injury and form a clinical pathway, and to improve the ability of treatment of war injury. Meth- ods A retrospective analysis was carried out on the clinical data with muhiple injuries treated form 2007 to 2012. Eighty-six cases of severe multiple injury were treated by Holistic Damage Control Surgery. Fifty-six cases were treated by traditional ways. Results The mortality and complication of the Damage Control Surgery （DCS） were significantly lower than traditional in the treatment of severe traumas wounded（P 〈 0.01 ）. Conclusion Severe and multi-intestinal injuries should be treated by holistic DCS actively in the period of early treatment. This new system will conducive to batch treatment of the wounded, and maximize the ability of treatment with injuries in wars and enhance the ability of hygienic guarantee.