腹部创伤早期应用损伤控制急救效果分析.docVIP

腹部创伤早期应用损伤控制急救效果分析 　　[摘要] 目的 探讨严重腹部创伤早期应用损伤控制急救的效果及其复苏策略。 方法 回顾性分析2013年1月～2015年1月收治的120例腹部创伤患者的临床资料，按入院顺序分为常规急救组（A组64例）和损伤控制急救组（B组56例）。比较两组的疗效、并发症和预后指标。 结果 B组抗生素使用时间、进食时间、肛门恢复排气时间、腹腔引流时间、住院时间明显小于或短于A组。B组并发症（低体温、代谢性酸中毒、凝血障碍、腹腔感染、膜腔间隔室综合症）发生率均明显低于A组。B组治愈率为91.1%，明显高于A组的76.6%（P0.05）；B组死亡率为8.9%，明显低于A组的23.4%（P0.05）。 结论 在腹部创伤早期急救中应用损伤控制急救效果显著，可明显减轻并发症和减少病死率，改善预后情况。 　　[关键词] 腹部创伤；损伤控制；急救；预后 　　[中图分类号] R656.1 [文献标识码] B [文章编号] 1673-9701（2015）25-0066-04 　　Analysis of effect on application of damage control in emergency for abdominal trauma 　　ZHOU Jianlin 　　Department of Emergency， 120 Emergency Center of Cixi City in Zhejiang Province， Cixi 315300， China 　　[Abstract] Objective To investigate the effect and the recovery strategy of application of damage control in emergency for serious abdominal trauma. Methods The clinical information about 120 cases of abdominal trauma patients from January 2013 to January 2015 was analyzed retrospectively， all the patients were divided into the conventional emergency group （group A， 64 cases） and damage control emergency group （group B， 56 cases） according to the order of admission. The indexes such as efficacy， complications， prognosis and so on between two groups were compared. Results The time of antibiotic use， eating， peritoneal drainage and hospital stay in group B were significantly shorter than those in group A. The complication rate （hypothermia， metabolic acidosis， coagulation disorders， abdominal infection， abdominal compartment syndrome） in group B were significantly lower than those in group A. The cure rate in group B was 91.1%， which was significantly higher than 76.6% in group A（P0.05）. The mortality rate in the group B was 8.9%， which was significantly lower than 23.4% in group A （P0.05）. Conclusion The application of damage control in emergency for serious abdominal trauma is highly effective， which is able to reduce rate of complications and mortality， and improve the prognosis. 　　[Key words] Abdominal trauma； Damag