伤害控制骨科技术在严重多发伤救治中应用.docVIP

伤害控制骨科技术在严重多发伤救治中应用[摘要] 目的 总结伤害控制骨科技术在治疗严重多发伤患者中应用的疗效。 方法 回顾分析我院2006年3月~2010年11月收治86例严重多发伤患者采取伤害控制骨科技术救治的情况。 结果 本组86例中，9例死亡，3例截肢，3例发生骨不愈合经再次手术或更换固定方法后愈合。61例患者的功能最终恢复到正常或基本正常，16例患者遗留有不同程度的功能障碍。 结论 伤害控制骨科技术改变了过去传统的救治模式和理念，明显提高了严重多发伤患者的救治成功率。 [关键词] 伤害控制骨科技术；多发伤；救治 [中图分类号] R683 [文献标识码] B [文章编号] 1673-7210（2012）01（c）-0144-02 Application of damage control orthopedic techniques in the treatment of patients with severe multiple trauma QU Yanming1 PENG Changgui2 HUANG Renhui1 YUAN Jie1 LI Haoyu1 1.Department of Orthopaedics, the Seventh People’s Hospital of Shengzhen City, Guangdong Province, Shenzhen 518081, China; 2.Department of Orthopaedics, Shijie Hospital of Dongguan City, Guangdong Province, Dongguan 523290, China [Abstract] Objective To summary the application of damage control orthopedic technology in the treatment of patients with severe multiple trauma. Methods The datas of 86 patients with severe multiple trauma from March 2006 to November 2010 in our hospital were retrospectively analyzed, which the patients were treated by damage control orthopedic technology. Results Among 86 cases, 9 cases were died, 3 cases were amputation, 3 cases were nonunion or replaced by a fixed method of re-operation after the healing. 61 cases eventually returned to normal function or normal, 16 cases were left with varying degrees of dysfunction. Conclusion Damage control orthopedic technology has changed the traditional models and concepts of the treatment, and significantly increased successful treatment rate of patients with severe multiple trauma. [Key words] Damage control orthopaedics technology; Multiple trauma; Treatment 随着经济、工业和交通业的发展，高能量所致的严重的多发性创伤经常发生，对患者的身体健康和生命安全构成了极大的威胁，救治难度大。本文回顾分析我院近年来收治的86例严重多发伤患者的救治情况，探讨伤害控制骨科技术（damage control orthopaedic technology）在治疗严重多发伤的患者中的应用价值。现报道如下： 1 资料与方法 1.1 一般资料 收集我院2006年3月~2010年11月因各种原因导致的ISS≥16分的严重多发伤采取伤害控制骨科技术救治的患者86例，其中，男52例，女34例；年龄11～78岁，平均21.6岁；致伤原因：交通事故伤54例，刀砍伤17例，高处坠落伤7例，挤压伤5例，其他3例；损伤情况：颅脑损伤59例，胸部