损伤控制性技术在肝胆外科损伤手术中应用价值分析(1)
[摘 要]目的 探讨损伤控制性技术在肝胆外科损伤临床手术中的应用价值，对相关的临床治疗过程和治疗效果进行分析。方法 回顾性分析2012年6月—2014年10月期间在该院收治的180例肝胆外科患者的临床资料。将患者随机分为观察组和参照组两组，其中观察组患者90例，采用损伤控制性手术的治疗方式；参照组患者90例，采用常规手术的治疗方式。对两组患者的临床各项指标。结果 治疗后，观察组90例患者中，死亡患者9例，病死率为10%，出现粘连性肠梗阻患者5例，占5.56%，肺部感染4例，占4.44%；参照组90例患者中，死亡患者为25例，病死率为27.78%，出现粘连性肠梗阻患者9例，占10%，出现肺部感染患者9例，占10%。统计研究表明，观察组患者出现粘连性肠梗阻、肺部感染并发症的发病率以及死亡率明显低于参照组患者(P<0.05)，组间比较差异有统计学意义(P<0.05)。结论 损伤控制性技术在肝胆外科损伤临床手术中具有很高的应用价值，在治疗效果上可以有效降低粘连性肠梗阻和肺部感染等的并发症的发病率，有效降低病死率，值得在临床上推广应用。
[关键词]损伤控制性技术；肝胆外科损伤手术；应用价值
[中图分类号]R657 [文献标识码]A [文章编号]1674-0742(2015)03(c)-0007-02
[Abstract] Objective To investigate the application value of damage control technology used in the clinical hepatobiliary surgery injury operation and analyze the clinical corresponding treatment process and effect. Methods A retrospective analysis was conducted on the clinical data of 180 cases admitted in the Department of Hepatobiliary Surgery of our hospital from June 2012 to October 2014. And the patients were randomly divided into two groups， the observation group and the reference group. 90 cases in the observation group were given the damage control operation treatment， and 90 cases in the reference group were given the conventional operation treatment. And the clinical indexes were compared between the two groups. Results After treatment， of the 90 cases in the observation group， 9 patients died， the mortality rate was 10%， 5 cases had adhesive intestinal obstruction， accounting for 5.56%， 4 cases had pulmonary infection， accounting for 4.44%. Of the 90 cases in the reference group， 25 cases died， the mortality rate was 27.78%， 9 cases had adhesive intestinal obstruction， accounting for 10%， 9 cases had pulmonary infection， accounting for 10%. The statistical research showed that， the incidence of adhesive intestinal obstruction and pulmonary infection and mortality rate in the observation group were much lower than those in the reference group(P<0.05)， the differences between the two groups were statistically significant(P<0.05). Conclusion Damage control technology used in the clinical hepatobiliary surgery injury operation has high application value， which can effectively reduce the incidence of adhesive intestinal obstruction and pulmonary infection and other complications and the mortality rate， therefore it is worthy of clinical application and promotion.
[Key words] Damage control technology； Hepatobiliary surgery injury operation； Application value
肝脏是人体最重要的器官之一，肝胆部位受损会对人的生命安全构成威胁。在损伤性急症的临床中，肝胆外科损伤的发病率非常普遍，如何提高肝胆外科损伤手术的临床水平是当前的重要工作之一[1]。损伤控制性手术(damage control surgery，DCS)自1983年被Stone提出后，损伤控制性手术是指在创伤早期对患者实施简单的外科手术对患者的损伤进行控制，可有效地救治危重患者[2]。为探讨损伤控制性技术在肝胆外科损伤临床手术中的应用价值，该研究以2012年6月—2014年10月期间在该院收治的180例肝胆外科患者为研究对象，报道如下。, 百拇医药(刘建 马宁 冯波)
[关键词]损伤控制性技术；肝胆外科损伤手术；应用价值
[中图分类号]R657 [文献标识码]A [文章编号]1674-0742(2015)03(c)-0007-02
[Abstract] Objective To investigate the application value of damage control technology used in the clinical hepatobiliary surgery injury operation and analyze the clinical corresponding treatment process and effect. Methods A retrospective analysis was conducted on the clinical data of 180 cases admitted in the Department of Hepatobiliary Surgery of our hospital from June 2012 to October 2014. And the patients were randomly divided into two groups， the observation group and the reference group. 90 cases in the observation group were given the damage control operation treatment， and 90 cases in the reference group were given the conventional operation treatment. And the clinical indexes were compared between the two groups. Results After treatment， of the 90 cases in the observation group， 9 patients died， the mortality rate was 10%， 5 cases had adhesive intestinal obstruction， accounting for 5.56%， 4 cases had pulmonary infection， accounting for 4.44%. Of the 90 cases in the reference group， 25 cases died， the mortality rate was 27.78%， 9 cases had adhesive intestinal obstruction， accounting for 10%， 9 cases had pulmonary infection， accounting for 10%. The statistical research showed that， the incidence of adhesive intestinal obstruction and pulmonary infection and mortality rate in the observation group were much lower than those in the reference group(P<0.05)， the differences between the two groups were statistically significant(P<0.05). Conclusion Damage control technology used in the clinical hepatobiliary surgery injury operation has high application value， which can effectively reduce the incidence of adhesive intestinal obstruction and pulmonary infection and other complications and the mortality rate， therefore it is worthy of clinical application and promotion.
[Key words] Damage control technology； Hepatobiliary surgery injury operation； Application value
肝脏是人体最重要的器官之一，肝胆部位受损会对人的生命安全构成威胁。在损伤性急症的临床中，肝胆外科损伤的发病率非常普遍，如何提高肝胆外科损伤手术的临床水平是当前的重要工作之一[1]。损伤控制性手术(damage control surgery，DCS)自1983年被Stone提出后，损伤控制性手术是指在创伤早期对患者实施简单的外科手术对患者的损伤进行控制，可有效地救治危重患者[2]。为探讨损伤控制性技术在肝胆外科损伤临床手术中的应用价值，该研究以2012年6月—2014年10月期间在该院收治的180例肝胆外科患者为研究对象，报道如下。, 百拇医药(刘建 马宁 冯波)