损伤控制性手术在腹部空腔脏器伤中的思路构建和实践(投稿文章).doc

损伤控制性手术在腹部空腔脏器伤中的思路构建和实践 摘要：目的：分析腹部空腔脏器伤中采取损伤控制性手术治疗的思路构建与实践效果。方法：将我院接诊的腹部空腔脏器伤患者75例作为研究对象，根据分为研究组（40例）与对照组（35例），对照组采取一期确定性手术，而研究组采取损伤控制性手术。观察记录两组患者复苏后乳酸水平、体温、PH值及凝血酶原时间（PT），以及术后并发症发生情况，并对比分析。结果：两组患者复苏后乳酸水平、体温、PH值及PT对比无显著性差异（P0.05）；研究组术后感染、粘连性肠梗阻发生率皆明显低于对照组（P0.01），对比有统计学意义。结论：准确掌握损伤控制性手术适应症，将其应用在腹部空腔脏器伤患者中，可以取得比较良好的效果，对复苏时乳酸水平、体温、PH值及凝血酶原时间等影响较小，而且术后并发症少，值得借鉴。 关键词：腹部；空腔脏器伤；损伤控制性手术；一期确定性手术Damage control surgery in the abdominal cavity viscera injury ideas build and practice Abstract: Objective: To analysis in the abdominal cavity viscera injury take ideas to build and practice of damage control surgery effect.Methods: Our hospital departments of 75 patients with abdominal cavity viscera injury as the research object, according to the vitreoretinal surgery were divided into research group (40 cases) and control group (35 cases) and control group take a period of uncertainty surgery, and the team take damage control surgery.Observed two groups of patients recovery after the lactic acid level, temperature, PH, and prothrombin time (PT), and postoperative complications, and comparative analysis.Results: Two groups of patients recovery after the lactic acid level, temperature, PH and PT compared with no significant difference (P 0.05);Group at the incidence of postoperative infection, adhesion sex intestinal obstruction were significantly lower than the control group (P 0.01), compared with statistical significance.Conclusion: Aaccurate mastery of damage control surgery indications and its application in abdominal cavity viscera injury patients, can have a good effect for comparison, the lactic acid level during recovery, temperature, PH, and prothrombin time less, and less postoperative complications, is worth using for reference. Keywords: The abdomen；The cavity viscera injury；Damage control surgery；A deterministic operation 近几年，国内交通与工业迅速发展，使得腹部空腔脏器伤发生率逐年上升。为了进一步探讨腹部空腔脏器伤中采取损伤控制性手术治疗的思路构建与实践效果，我院展开了相关研究，现将结果作如下报告。 1 资料与方法 1.1 一般资料 将我院2012年1月-2014年7月接诊的腹部空腔脏器伤患者75例作为研究