摘要
目的总结应用损伤控制策略救治严重多发伤的经验。方法回顾分析应用损伤控制策略救治108例严重多发伤的经过及损伤控制救治措施的选择情况。结果除19例因发展很快的失血性休克(7例)、严重脑挫伤(6例)、难以控制的感染(4例)、MODF(2例)而死亡外,89例得到救治,抢救成功率82.4%。结论建立主诊医师负责的急诊救治小组,应用损伤控制策略开展救治是当前急诊严重多发伤救治较好的模式。
Objective To explore the current management strategy and effect of damage control surgery （DCS） for severe multi-trauma. Methods The clinical data of 108 cases with severe multi-trauma were analyzed retrospectively. Results Damage control operations were performed in all 108 patients. Except for 19 patients including 7 cases of developing hemorrhagic shock, 6 cases of serve brain contusion, 4 cases of hard controlling infection and 2 cases of multiple organ dysfunction failure （ MODF）, 89 patients were cured with a cure rate of 82.4%. Conclusion It is a good treatment model for severe multi-trauma in accordance with DCS which was carried out by the team in charge of by senior surgeon in emergency department.
出处
《同济大学学报（医学版）》
CAS
2008年第6期89-91,共3页
Journal of Tongji University(Medical Science)
关键词
损伤控制
多发伤
急诊医学
damage control surgery
multi-trauma
emergency medicine
