损害控制外科技术救治地震严重多发伤
王爱民;孙红振;杜全印;范伟力;王雨;刘明永;王子明;柳峰;陈贤明
【期刊名称】《中华创伤骨科杂志》 【年(卷),期】2008(010)006
【摘要】Objective To discuss the effect of damage control strategy on 24 cases of severe poly-traumatism which had been caused by the 5.12 Wenchuan earthquake in 2008. Methods A retrospective study was conducted to evaluate the methods and timing of damage control for the 24 cases of severe polytraumatism. Results All the 24 cases survived. The 4 patients with failure of major organs were free of danger. Three patients needed further debridement and dermoplasty. All the other patients were in the process of recovery after successful definitive surgery. Conclusion Since severe polytraumatism following an earthquake is quiet different from common injury, we recommend damage control strategy for hospitals both in the earthquake area and in the rear.%目的 探讨损害控制外科技术在汶川地震灾区严重多发伤救治中的作用.方法 回顾性分析损害控制在24例四川地震灾区严重多发伤伤员救治中的经验,研究损害控制的方法、时机.结果 本组24例全部存活,5例截肢,4例重要器官衰竭者已脱离危险,3例尚需进一步行清创和植皮手术,其他伤员均已完成确定性手术并在顺利康复中.结论 地震灾区严重多发性损伤特点与平常不一样;骨科损害控制有利于提高地震灾区严重多发伤的救治,特别是前线和后方二级医院联合采用可有效地控制损害.
损害控制外科技术救治地震严重多发伤
