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目的:探讨严重多发伤应用损伤控制外科方法(DCS)救治的可行性和效果。方法:选取病例资料完整的严重多发伤90例,分为观察组和对照组各45例。观察组采用DCS救治,对照组采用传统方法(ETC)救治。观察两组并发症,伤死率,体温恢复时间,乳酸清除时间,凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)恢复时间,出血量,输血量,手术时间,ICU及住院时间。结果:观察组并发症及伤死率非常显著低于对照组(P<0.01)。观察组乳酸清除时间、体温恢复时间、PT与APTT恢复时间、住院时间、ICU治疗时间等显著或非常显著少(短)于对照组(P<0.05,P<0.01)。结论:DCS可降低多发伤患者的伤死率,减少并发症,提高救治成功率。
Objective: To investigate the feasibility and effect of DCS in the treatment of severe multiple trauma. Methods: A total of 90 cases of serious multiple injuries were selected and divided into observation group and control group of 45 cases. Observation group using DCS treatment, control group using the traditional method (ETC) treatment. Complications, mortality, body temperature recovery time, lactic acid clearance time, prothrombin time (PT), APTT recovery time, blood loss, blood transfusion, operation time, ICU and hospitalization were observed. time. Results: Complications and mortality in the observation group were significantly lower than those in the control group (P <0.01). The observation group lactic acid clearance time, body temperature recovery time, PT and APTT recovery time, hospital stay, ICU treatment time was significantly or very significantly less (short) in the control group (P <0.05, P <0.01). Conclusion: DCS can reduce the mortality rate of multiple traumatic patients, reduce complications and improve the success rate of treatment.