Correct application of damage-controlling laparotomy.docVIP

 PAGE \* MERGEFORMAT 13 Correct application of damage-controlling laparotomy [Abstract] damage control strategy is to improve the treatment of abdominal trauma in one of the key to success, help to improve the face of hypothermia, acidosis and coagulopathy the prognosis of critically ill patients. The first is through the short time of emergency laparotomy to control bleeding and pollution, and then continue to recover in the ICU, the deadly triad of definitive surgery to correct after the treatment. [Keywords:] abdominal injuries, damage control laparotomy Abstract: Damage control is one of the key points of raising achievement ratio of abdominal trauma care, which helps to improve the prognosis of patients with acidosis, hypothermia, and coagulopathy.Bleeding and gastrointestinal contamination are controlled by laparotomy.Active resuscitation of patients with severe physiologic derangements is continued in ICU.Patients subsequently undergo definitive surgical management after the lethal triad is corrected. Keywords:: abdominal injury; damage control, laparotomy With the popularity of highways and motor vehicles, the continuous emergence of high-rise buildings, high-speed, high-energy weapons in the war injury applications, increasing the kinetic energy of injury, tissues, organs, greatly increased the severity of injury, trauma care face challenges. Damage Control (damage control, DC is a severe trauma patients for surgical treatment strategy for stage [1], 1993, 13 cases of severe abdominal Rotondo summary penetrating wounds of the successful application of DC experience, put forward the concept of DC operation, after DC extended to multiple injuries, bone and joint trauma and chest trauma, but mainly remained concentrated in abdominal trauma [2], and has been successfully used include abdominal sepsis, surgical bleeding and ischemic non-necrotic enteritis Emergency general surgery trauma in critically ill patients [3], damage-controlling lapa