严重腹部创伤的损伤控制性处理策略
《创伤外科杂志》[ISSN:/CN:]
- 期数:
- 2013年15卷05期
- 页码:
- 477-478
- 栏目:
- 讲座
- 出版日期:
- 2013-11-24
文章信息/Info
- Title:
- Damage control strategy for treating severe abdominal injury
- Author(s):
- DING Weiwei; WU Xingjiang; LI Jieshou
- Institute of General Surgery,Medical School of Nanjing University,Nanjing General Hospital of Nanjing PLA Command,Nanjing 210002,China
- 分类号:
- R 656;R 605
- DOI:
- -
- 文献标识码:
- A
- 摘要:
- 【摘要】严重腹部创伤，常并发休克，出现严重的生理功能紊乱和机体代谢功能的失调，导致患者出现低温、酸中毒和凝血障碍三联征，处于生命极限状态，不能忍受长时间的确定性手术。此时应用损伤控制性外科（DCS）理念，不追求手术的一次性成功，而通过各种暂时性措施维持患者最基本的生命状态，通过复苏纠正各种代谢紊乱，提高患者耐受确定性手术的能力，最后通过确定性手术或分次的确定性手术来挽救患者的生命，方可提高救治成功率。
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备注/Memo
- 备注/Memo:
- 基金项目：南京军区医学科技创新课题面上项目（编号11MA094、12MA081）;江苏省临床医学科技专项(BL2012006)资助
