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急诊手术治疗肝外伤的方式及有效性评定

Evaluation of the Methods and Effectiveness of Emergency Surgical Treatment for Liver Trauma
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摘要 目的探讨应用损伤控制急诊手术治疗肝外伤的方式及有效性。方法选取2010年2月—2017年1月88例肝外伤患者并采用随机数字表法分组。对照组进行常规急诊手术治疗,观察组则应用损伤控制急诊手术。比较两组肝外伤治疗效果;手术操作时间、出血、术后下地、出院时间;各项应激反应因子水平。结果观察组肝外伤治疗效果高于对照组,P<0.05;手术操作时间、出血、术后下地、出院时间少于对照组,P<0.05;观察组各项应激反应因子水平优于对照组,P<0.05。结论急诊手术治疗肝外伤采用损伤控制的方式有效性高,可减轻对患者的不良应激,减少手术创伤,加速术后康复。 Objective To explore the way and effectiveness of emergency operation of injury control in the treatment of liver trauma. Methods 88 cases of liver trauma were selected from February 2010 to January 2017 and were grouped by random digital table. The control group was treated with routine emergency operation, and the observation group was used for emergency operation of injury control. The treatment effect of two groups of liver trauma was compared, operation time, bleeding, post operation, discharge time, and the level of various stress response factors. Results The effect of liver trauma in the observation group was higher than that of the control group, P 〈 0.05. The operation time, bleeding, post operation and discharge time were less than that of the control group, P 〈 0.05; The level of stress reaction factors in the observation group was better than that of the control group, P 〈 0.05. Conclusion The treatment of liver trauma by emergency operation is highly effective, which can reduce the adverse stress of the patients, reduce the surgical trauma and accelerate the postoperative recovery.
出处 《中国继续医学教育》 2018年第6期67-69,共3页 China Continuing Medical Education
关键词 急诊手术 肝外伤 方式 有效性 emergency operation liver trauma mode effectiveness
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