严重腹部创伤的损伤控制性手术

腹部危重伤病人急诊手术及复苏过程中,导致死亡的显著原因被认为是创伤三联症--低体温、凝血功能障碍和酸中毒.损伤控制性外科处理包括简单快速手术、术后复苏和确定性手术,能够快速控制出血和污染、实施临时关闭腹腔,有效地缩短手术时间、减轻创伤应激、快速纠正创伤三联症、降低术后并发症的发生率,对危重伤病人的处理有着很重要的意义.

Abdominal trauma damage control surgery

The triad of trauma including hypothermia,acidosis,and coagulopathy during initial operative and resuscitation efforts has been recognized as a significant cause of death in patients with severe abdominal traumatic injuries.Damage control surgical approach with a brief fast surgery,subsequent intensive care unit resuscitation,and a planned reoperation is an emerging technique to control bleeding and contamination and undertake temporary abdominal wall closure that can shorten the operating time,lessen the traumatic stress,fast correct the triad of trauma and lower the incidence rate of postoperative complications.Damage control surgery places a important role in dealing severe traumatic injuries currently.