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目的探讨伤害控制在骨关节型创伤合并胸部损伤的的救治作用。方法回顾性分析72例骨关节型创伤合并胸部损伤的治疗,分课题治疗组(DCO,骨科伤害控制组)46例及对照治疗组(ETC,早期骨折完全处理组)26例,观察致死性并发症的发生情况。结果ETC组具有较高的致死性并发症ARDS及MODS发生,发生率46.2%(12/26),而DCO组未发生,二者有统计学差异(P<0.05)。结论骨关节型创伤合并胸部损伤的病人适合伤害控制治疗,对四肢骨折和骨盆骨折应用外固定器临时固定能有效控制伤害,可降低致死性并发症ARDS及MODS的发生。
Objective To investigate the therapeutic effect of injury control in the treatment of osteoarticular injuries combined with thoracic injuries. Methods A retrospective analysis of 72 cases of osteoarticular wound with thoracic injury treatment, sub-topic treatment group (DCO, orthopedic injury control group) 46 cases and control treatment group (ETC, early fracture complete treatment group) 26 cases observed fatal complications Occurrence of the disease. Results The ETC group had higher fatal complications ARDS and MODS, the incidence was 46.2% (12/26), while the DCO group did not occur. There was a significant difference between the two groups (P <0.05). Conclusion The patients with osteoarticular wound and thoracic injury are suitable for the treatment of injury control. Temporary fixation of extremity and extremity fractures for limbs and pelvic fractures can effectively control the injury and reduce the incidence of fatal complications ARDS and MODS.