损伤控制外科技术在严重腹部创伤救治中的应用效果观察.docVIP

损伤控制外科技术在严重腹部创伤救治 中的应用效果观察 广东省英德市洽洸镇中心卫生院普外科 目的分析损伤控制外科技术在严重腹部创伤救治屮的应用效果。方法104例严 重腹部创伤患者为研究对象，根据入院时间不同分为对照组及观察组，齐52 例。对照组患者根据腹部损伤具体情况及时选择适宜手术方案治疗，观察组给予 损伤控制外科技术治疗。比较两组手术相关指标及住院时间。结果观察组手术 时间、术中出血量、住院治疗吋间均优于对照组，差异均有统计学意义 (t二15.322、34.877、6. 071, P0. 05)。观察组最高温度、乳酸消除时间、凝血 酶恢复时间均优于对照组,差异均有统计学意义(t=9. 140 31.097、22. 087, P0. 05)。结论损伤控制外科技术可有效缩短严重腹部创伤救治时间，降低术 中出血量，有效阻断低体温、酸中毒及凝血障碍三者间的恶性循环，利于促进患 者康复。 关键词 严重腹部创伤;救治;损伤控制外科技术; 2017-10-11 Observation on effect of injury control surgical technique applied in the treatment of severe abdominal trauma CHEN Wei-jie Department of General Surgery, Yingde City Hanguang Town Hea1th Center; Abstract Objective To analyze the effect of injury control surgical technique applied in the treatment of severe abdominal trauma. Methods A total of 104 patients with severe abdominal trauma as study subjects were divided by different admission order into control group and observation group, with 52 cases in each group. The control group received appropriatc surgical regimen according to the specific situation of abdominal trauma, and the observation group received injury control surgical technique. Comparison were made on surgical related indicators and hospitalization time in two groups. Results The observation group had better operation time, intraopcrativc bleeding volume and hospitalization time than the control group, and their difference was statistically significant (t=15. 322, 34. 877, 6.071, P0.05) . The observation group had better highest temperature, lactate el imination time and thrombin recovery time than the control group, and their differenee was statistically significant (t=9.140, 31.097, 22.087, P0.05) . Conclusion Injury control surgical technique can effectively shorten the treatment time of severe abdominal trauma, reduce intraoperative bleeding volume, and effectively block the vicious circle of low temperature, acidosis and coagulation disorders, which is conducive to promoting the rehabilitation of patients. Keyword Severe