严重多发伤的救治策略 .pptxVIP

损伤控制外科

——DamageControlSurgery;;第三页，共五十九页。;EveryyearacrossEnglandandWales,10,000peopledieafterinjury.

Itistheleadingcauseofdeathamongchildrenandyoungadultsof44yearsandunder.

--------TraumaAuditResearchNetwork:tarn.ac.uk;Inaddition,therearemanythousandswhoareleftseverelydisabledforlife.

Takingaglobalviewoflifeyearslostthroughprematuredeathanddisability,injurywillbein2ndplacein2022.

;传统观念;Stone等(1983年)

31例有严重出血潜质的创伤患者。

14例常规血液置换、详尽手术、关闭腹腔并行引流者仅存活1例。

17例只行重要血管修复、简单结扎切除肠管