摘要
目的分析在急诊外科多发伤救治中应用损伤控制技术对临床症状的改善作用。方法本研究共60例研究对象,均为急诊外科多发伤患者,依照抢救方法进行分组,其中30例行常规抢救治疗的患者列为对照组,另外30例行损伤控制技术治疗的患者列为研究组,所有研究对象均选自2018年3月至2020年3月。对比分析两组患者临床症状改善情况,统计各项指标恢复情况,观察并发症与死亡发生情况。结果在术中出血量、ICU入住时间、总住院时间上,研究组明显优于对照组(P<0.05)。在体温恢复时间、乳酸恢复时间、碱剩余(BE)恢复时间与凝血活酶(APTT)恢复时间上,研究组明显短于对照组(P<0.05)。在并发症发生率与死亡率上,研究组低于对照组(P<0.05)。结论损伤控制技术用于急诊外科多发伤抢救治疗的价值较高,能够改善患者的抢救效果,临床可进一步推广运用。
Objective To analyze the application of damage control technology in the treatment of multiple trauma in emergency surgery.Methods In this study,a total of 60 patients with multiple trauma in emergency surgery were divided into two groups according to the rescue methods.Among them,30 patients with routine rescue treatment were selected as the control group,and the other 30 patients with damage control technology were included in the study group.All the subjects were selected from March 2018 to March 2020.The improvement of clinical symptoms of the two groups were compared and analyzed,and the recovery of various indicators was counted,and the incidence of complications and death was observed.Results In terms of intraoperative blood loss,ICU stay time and total hospital stay,the study group was significantly better than the control group(P<0.05).The recovery times of body temperature,lactic acid,alkali residue(BE)and thrombin(APTT)in the study group were significantly shorter than those in the control group(P<0.05).The incidences of complications and mortality in the study group were lower than those in the control group(P<0.05).Conclusion Damage control technology used in emergency surgery multiple trauma rescue treatment has high application value,can improve the rescue effect of patients,can be further promoted in clinical application.
作者
万建忠
WAN Jian-zhong(Binhai Bay Central Hospital,Dongguan,Guangdong 523900)
出处
《智慧健康》
2021年第7期74-75,78,共3页
Smart Healthcare
关键词
急诊外科
多发伤
损伤控制技术
Emergency surgery
Multiple trauma
Damage control technology
