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目的将损伤控制外科技术(DCO)在临床急诊外科多发伤救治中的应用效果进行研究与探讨。方法 80例多发伤患者,随机分为治疗组和对照组,各40例。治疗组采取损伤控制外科技术抢救,对照组采用传统方法抢救。对比两组患者的临床指标改善情况。结果治疗组患者乳酸恢复时间、体温恢复时间、凝血酶原时间(PT)和活化部分凝血活酶时间(APTT)及碱剩余(BE)恢复时间、出血量、弥散性血管内凝血(DIC)发生率、其他并发症发生率、死亡率均明显优于对照组(P<0.05);两组患者手术时间比较差异无统计学意义(P>0.05)。结论在多发伤中采用损伤控制外科技术方法安全可靠,能提高创伤患者的生存率,降低并发症发生率,具有较高的临床应用价值且值得推广。
Objective To study the effect of injury control surgery (DCO) in the treatment of multiple trauma in clinical emergency surgery. Methods 80 patients with multiple trauma were randomly divided into treatment group and control group, 40 cases each. The treatment group was treated with surgical technique of injury control and the control group was treated by traditional method. Comparison of two groups of patients to improve clinical indicators. Results In the treatment group, lactic acid recovery time, body temperature recovery time, prothrombin time (PT), activated partial thromboplastin time (APTT) and alkali residual (BE) recovery time, bleeding volume and disseminated intravascular coagulation The rates of other complications and mortality were significantly better than those of the control group (P <0.05). There was no significant difference in operative time between the two groups (P> 0.05). Conclusion It is safe and reliable to use trauma control surgery in multiple traumatic injury, which can improve the survival rate of trauma patients and reduce the incidence of complications, which is of high clinical value and worthy of popularization.