摘要
目的分析损伤控制外科技术在严重腹部创伤救治中的应用效果。方法 104例严重腹部创伤患者为研究对象,根据入院时间不同分为对照组及观察组,各52例。对照组患者根据腹部损伤具体情况及时选择适宜手术方案治疗,观察组给予损伤控制外科技术治疗。比较两组手术相关指标及住院时间。结果观察组手术时间、术中出血量、住院治疗时间均优于对照组,差异均有统计学意义(t=15.322、34.877、6.071,P<0.05)。观察组最高温度、乳酸消除时间、凝血酶恢复时间均优于对照组,差异均有统计学意义(t=9.140、31.097、22.087,P<0.05)。结论损伤控制外科技术可有效缩短严重腹部创伤救治时间,降低术中出血量,有效阻断低体温、酸中毒及凝血障碍三者间的恶性循环,利于促进患者康复。
Objective To analyze the effect of injury control surgical technique applied in the treatment of severe abdominal trauma. Methods A total of 104 patients with severe abdominal trauma as study subjects were divided by different admission order into control group and observation group, with 52 cases in each group. The control group received appropriate surgical regimen according to the specific situation of abdominal trauma, and the observation group received injury control surgical technique. Comparison were made on surgical related indicators and hospitalization time in two groups. Results The observation group had better operation time, intraoperative bleeding volume and hospitalization time than the control group, and their difference was statistically significant（t=15.322, 34.877, 6.071, P0.05）. The observation group had better highest temperature, lactate elimination time and thrombin recovery time than the control group, and their difference was statistically significant（t=9.140, 31.097, 22.087, P0.05）. Conclusion Injury control surgical technique can effectively shorten the treatment time of severe abdominal trauma, reduce intraoperative bleeding volume, and effectively block the vicious circle of low temperature, acidosis and coagulation disorders, which is conducive to promoting the rehabilitation of patients.
出处
《中国现代药物应用》
2017年第22期26-28,共3页
Chinese Journal of Modern Drug Application
关键词
严重腹部创伤
救治
损伤控制外科技术
Severe abdominal trauma
Treatment
Injury control surgical technique
