损伤控制性手术在高原偏远地区严重腹部外伤救治中的应用

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Abstract Objective To investigate the value of damage control surgery in the treatment of severe abdominal trauma in Plateau remote area.Methods 48 severe abdominal trauma patients from January 2012 to December 2016 in our hospital were selected as observation objects and retrospectively analyzed.Patients were divided into DCS group and control group according to different treatment method,and each group was 24 cases.DCS group was used damage control surgery,and the control group was used general surgery.The recovery time of postoperative blood coagulation function(PT,APTT),temperature recovery time,lactate clearance time,hospitalization time and postoperative complications were compared and analyzed between the two groups.Results The two groups were mainly caused by traffic injuries,and there was no significant difference in weight injuries，high-altitude falling injuries，stab injuries and crush injuries (P＞0.05).The averaged injury severity score(ISS)of the two groups was(41.26±4.46)scores,and the difference was not statistically significant(P＞0.05).PT and APTT recovery time,lactic acid clearance time and body temperature recovery time were significantly lower in the DCS group than those in the control group (P＜0.05).In terms of individual complications,the difference was not statistically significant between two groups(P＞0.05).The postoperative lung，abdominal cavity and adhesive intestinal obstruction infection in group DCS were significantly lower than those in the control group,the difference was statistically significant(P＜0.05).Conclusion Damage control surgery in the treatment of severe abdominal trauma in the remote areas with a high clinical value compared with conventional surgery,which can significantly shorten the blood coagulation function recovery time,clearance time of lactic acid and body temperature recovery time,and with low incidence of postoperative complications,and is worthy of promotion and application.

Key words： Damage control surgery Plateau remote area Abdominal trauma Clinical application

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	YANG Chun-hua
	HUANG Wei

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YANG Chun-hua,HUANG Wei. Application of damage control surgery in the treatment of severe abdominal trauma in Plateau remote area[J]. 中国当代医药, 2017, 24(28): 24-26转35.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I28/24

[1]	赵山红，高劲谋，胡平，等.521例腹部创伤的救治分析[J].重庆医学，2015，44（6）：769-771.
[2]	黎介寿.损伤控制外科理念在胰十二指肠钝性损伤处理中应用[J].中国实用外科杂志，2015，35（3）：237-239.
[3]	田孝东，杨尹默.胰腺损伤诊断、分级及外科治疗[J].中国实用外科杂志，2015，35（3）：258-262.
[4]	谢德贵，孙勇.损伤控制性手术治疗严重创伤性肝破裂的临床效果探讨[J].重庆医学，2015，44（7）：975-977.
[5]	范锦新.损伤控制外科在腹部外伤后肠空气瘘危重患者救治中的应用[J].中国普通外科杂志，2015，24（5）：770-772.
[6]	王革非，任建安，黎介寿.围手术期复杂性腹腔感染及其规范化治疗[J].中国实用外科杂志，2014，34（2）：137-140.
[7]	霍景山，陈积圣，陈务民，等.腹腔内负压封闭引流治疗严重胰腺十二指肠损伤：附16例报告[J].中国普通外科杂志，2014，23（3）：343-347.
[8]	杨志刚，陈苏杭，祁向东，等.腹部闭合性损伤86例诊治体会[J].江苏医药，2014，40（14）：1710-1711.
[9]	柯立池，万仁华，高良辉，等.损伤控制性手术逆转肝外伤凝血功能障碍的诊治体会[J].广东医学，2014，35（18）：2868-2869.
[10]	薛阳阳，施天奇，吴翠丽，等.1例严重腹部外伤致肠空气瘘患者行二次腹壁植皮术的护理[J].中华护理杂志，2017，52（1）：80-83.
[11]	丁忠阳，唐建东，李淦，等.早期肠内营养应用对严重腹部外伤患者营养状态和肠屏蔽功能的临床研究[J].中国临床药理学杂志，2015，31（23）：2290-2292.
[12]	李原，任建安.腹部创伤合并腹腔感染诊治进展[J].中国实用外科杂志，2016，36（2）：238-240.
[13]	邓修民.损伤控制手术在老年癌性结直肠梗阻患者手术治疗中的应用[J].中国老年学杂志，2016，36（3）：712-714.
[14]	蒋蕤，张枝刚.腰硬联合麻醉与硬膜外麻醉在高原地区剖宫产手术中的临床疗效及安全性评价[J].中国临床药理学杂志，2016，32（4）：315-317.
[15]	丁威威，黎介寿.腹部战创伤后的损伤控制性复苏策略[J].解放军医学杂志，2014，39（3）：180-183.