摘要
目的探讨应用损伤控制骨科治疗合并骨折的多发伤时的疗效。方法对我院2003年1月至2007年8月收治的ll例合并骨折的多发伤患者，应用损伤控制原则分三阶段治疗，早期骨折给予临时固定、清创、止血治疗，术后进入ICU监护治疗，病情平稳后行确定性手术，并进行回顾性分析。结果死亡2例，死亡率18．2％。随访3～18个月，并发症包括伤口感染1例，经引流、换药后好转。黏连性肠梗阻3例，不需外科治疗。骨折顺利愈合，邻近关节功能恢复佳。结论损伤控制原则更符合外伤后病人的病理生理特点，在严重创伤伤员的急救医疗中具有强大的生命力。
Objectives To evaluate the efficacy and value of damage control orthopedics（DCO） applicated to multiple injury concured with fracture. Methods A total of 11 patients with multiple injury concured with fracture received DCO treatment in our hospital during January 2003 to August 2007. The therapy process include three procedures ：Early,granted debridement,hemostasis,provisional fixing fracture ;Next ,cared in the intensive care unit ;Final- ly,when pathogenetic condition was equable, the patients received operation. Then retrospective analysis was made. Results Death 2 cases,mortality 18.2%. Follow up 3-18 months there were some complications. Wound infection took place in 1 case,and healed after drainage,change dressings etc. Three adhesive ileus cases were diagnosed as complications ,not seriously and need no operation. The fracture healed,nearby joints＇function recovered well. Conclusion Damage control orthopedics（DCO） procedures well conform to pathophysiological character of wounded patient, and had predominance in emergency treatment of severely trauma
出处
《实用骨科杂志》
2008年第6期334-336,共3页
Journal of Practical Orthopaedics
关键词
损伤
控制
多发伤
damage
control
multiple injury
