以严重腹部创伤为主的多发伤的抢救与护理.docVIP

以严重腹部创伤为主的多发伤的抢救与护理 　　摘要：目的 研究以严重腹部创伤为主的多发伤的抢救与护理，为临床提高患者的抢救和治疗效果提出建议。方法 选取从2013年12月～2014年12月我单位收治的以严重腹部创伤为主的多发伤患者92例，随机分为观察组和对照组，两组各纳入患者46例，对照组患者采取常规手术治疗和护理，观察组患者采取损伤控制性手术和综合护理，比较两组患者的DIC发生率、苏醒时间及体温恢复时间。结果 ①观察组患者苏醒时间及体温恢复时间分别为（2.13±0.43）d和（4.68±1.41）h，对照组患者苏醒时间和体温恢复时间分别为（4.76±1.12）d和（17.37±8.96）h，两组间差异有统计学意义（P0.05）；观察组2例患者发生DIC，占4.3%，对照组11例患者发生DIC，占23.9%，两组间差异有统计学意义（P0.05）。结论 损伤控制性手术及综合护理治疗以严重腹部创伤为主的多发伤患者能够获得较好的治疗效果，临床值得推广。 　　关键词：腹部创伤；多发伤；抢救；护理 　　Emergency Treatment and Nursing of Multiple Trauma Patients with Severe Abdominal Trauma 　　JIANG Nan 　　（Xichang Center for Disease Control and Prevention，Xichang 615000，Sichuan，China） 　　Abstract：Objective To study is given priority to with serious abdominal trauma rescue and nursing of multiple trauma， improve the effect of the rescue and treatment of patients for clinical recommendations. Methods Selected from December 2013 to December 2014， our hospital is given priority to with serious abdominal trauma， 92 cases of patients with multiple trauma， randomly divided into observation group and control group， two groups of 46 patients with all in， the control group patients take routine surgical treatment and care， observation group of patients taking damage control surgery and comprehensive care， compared two groups of patients the incidence of DIC， awakening time and temperature recovery time. Results ①observation group of patients emergence time and temperature recovery time is respectively （2.13±0.43） d and （4.68±1.41）h， the control group patients wake up of time and temperature recovery time， respectively （4.76 ± 1.12） d and （17.37±8.96）h， difference between the two groups was statistically significant （P 0.05）； DIC， observation group 2 patients （4.3%）， 11 patients in control group DIC， accounted for 23.9%， the difference between the two groups was statistically significant （P 0.05）. Conclusion The damage control surgery and comprehensive care and treatment is given priority to with serious abdominal trauma p