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[1]黄 强,杨 洋,魏安卿,等.损伤控制理论对野战卫勤保障的影响[J].医学研究与战创伤救治(原医学研究生学报),2013,15(05):488-490.[doi:10.3969/j.issn.1672-271X.2013.05.019]
　HUANG Qiang,YANG Yang,WEI An-qing,et al.Effect of damage control surgery on hygienic guarantee[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2013,15(05):488-490.[doi:10.3969/j.issn.1672-271X.2013.05.019]
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损伤控制理论对野战卫勤保障的影响()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第15卷
期数:
2013年05期
页码:
488-490
栏目:
出版日期:
2013-10-20

文章信息/Info

Title:
Effect of damage control surgery on hygienic guarantee
作者:
黄 强; 杨 洋; 魏安卿; 龚跃华
330002江西南昌，解放军94医院急诊中心
Author(s):
HUANG Qiang; YANG Yang; WEI An-qing; GONG Yue-hua
Emergency Center,94 Hospital of PLA，Nanchang,Jiangxi 330002,China
关键词:
损伤控制; 卫勤保障; 创伤致死三联征; 临床路径
Keywords:
damage control;  hygienic guarantee;  lethal triad;  clinical pathway
分类号:
R821
DOI:
10.3969/j.issn.1672-271X.2013.05.019
文献标志码:
A
摘要:
目的 探讨在战创伤早期即采用损伤控制性外科(damage control surgery,DCS)理念并形成临床路径，为改善我军战伤救治进行尝试。方法 2007-2012年收治的按DCS纳入的严重多发伤患者，86例采用整体DCS，56例仍按传统DCS进行救治，对两组的病死率及并发症发生率进行对比。结果 传统DCS组的病死 率及并发症发生率均显著高于整体DCS组（P＜0.01）。结论 严重多发伤的患者,应尽早积极实施整体DCS,有利于伤员的高效、批量的救治，最大限度地提高战伤救治能力和野战卫 勤保障能力。
Abstract:
Objective Severe and multi-intestinal injuries were obviously increased in modern wars.To explore use the Damage Control Surgery (DCS) early in war injury and form a clinical pathway,and to improve the ability of treatment of war injury.Methods A retrospective analysis was carried out on the clinical data with multiple injuries treated form 2007 to 2012．Eighty-six cases of severe multiple injury were treated by Holistic Damage Control Surgery.Fifty-six cases were treated by traditional ways.Results The mortality and complication of the Damage Control Surgery (DCS) were significantly lower than traditional in the treatment of severe traumas wounded（P＜0.01）.Conclusion Severe and multi-intestinal injuries should be treated by holistic DCS actively in the period of early treatment.This new system will conducive to batch treatment of the wounded,and maximize the ability of treatment with injuries in wars and enhance the ability of hygienic guarantee.

参考文献/References:

[1]贺红艳，宗 杰，王玉锋，等.急诊死亡患者临床特征研究［J］.临床急诊杂志,2012,13(6):381-386.
[2］Moore EE，Burch JM，Franciose RJ，et al．Staged physidogic restoration and damage control surgery［J］．World J Surg，2001，22（12）：1184-1190．
[3］Rotondo MF，Zonies DH.The damage control sequence andunderlying logic［J］.Surg Clin North Am，1997，77：761-777.
[4］Rotondo MF,Schwab CW,McGonigal MD,et al.“Damage contr-ol”：an approach for impproved survival in exsanguirinating penetrating abdominal injury［J］.J Trauma,1993,35(3):375-382.
[5］Sehreiber MA.Damage control surgery［J］.Crit Care Clin,2004,20(1):1101-1108.
[6］Dewaele JJ,Vermassen FE.coagulopathy,hypothermia and acidosis in trauma patients the rationale for damage control surgery［J］.Acta chir Belg,2002,10（2 ）:313-316.
[7］黄 强，陈自力，李修江.早期使用限制性液体复苏治疗重度骨盆骨折并创伤失血性休克的疗效评价［J］.中华创伤杂志，2008,24（4）：271-273.
[8］黄 强，陈自力，李 剑.失血性休克大鼠不同血压时相心脑病理改变的研究［J］.中国急救医学，2011,31（3）：224-226.
[9］陈自力，黄 强，李 剑.大鼠低动脉压耐受限制的研究［J］.创伤外科杂志，2010,12（4）:351-354.
[10］Holcomb JB,Jenkins D,Rhee P,et al.Damage control resuscitation:directly addressing the early coagulopathy of trauma［J］.J Trauma,2007,62(2):307-310.
[11］Duchesne JC,Islam TM,Stuke L,et al.Hemostatic resuscitation during surgery improves survival in patients with traumatic-induced coagulopathy［J］.J Trauma,2009,67(1):33-37.
[12］Leppniemi AK.Abdominal war wounds-experiences from Red Cross field hospitals［J］.World J Surg,2005,29（suppl 1）:67-71.
[13］田道全，郑军成.非战争军事行动卫勤保障研究［J］.东南国防医药，2012,14（1）:91-92.
[14］曹文献.聚焦主题 服务主线 加快全面建设现代卫勤步伐［J］.东南国防医药，2012,14（1）:Ⅰ-Ⅱ.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2013-09-20