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目的探讨损害控制外科技术在严重腹部创伤休克救治的全过程分阶段应用的效果。方法回顾性分析86例严重腹部创伤休克患者在院前急救与转运、院内急救与复苏、急诊手术与ICU监护、计划性再手术等不同阶段应用损害控制外科技术的救治情况和治疗效果。结果 4例患者在急救及转运过程中死亡,余82例术前初步复苏成功,获得救命性手术治疗。其中2例在术中大出血死亡,4例在后期死于多器官功能衰竭(MOF),76例治愈。结论将损害控制外科技术贯穿应用于严重腹部创伤休克患者中的不同阶段可以取得良好的救治效果。
Objective To investigate the effect of injury control surgery in the whole process of severe abdominal trauma shock treatment. Methods A retrospective analysis of 86 cases of severe traumatic shock in patients with prehospital first aid and transport, hospital emergency and resuscitation, emergency surgery and ICU care, planned re-operation and other stages of the application of damage control surgical treatment and treatment. Results Four patients died during first aid and transportation, and the remaining 82 cases were successfully resuscitated preoperatively and were given life-saving surgical treatment. Two of them died of intraoperative hemorrhage, 4 died of multiple organ failure (MOF) later and 76 were cured. CONCLUSIONS Good surgical outcomes will be achieved in different stages of invasive surgical techniques that are used throughout patients with severe traumatic shock.