ABSTRACT
Objective To investigate the therapeutic method of extensive abdominal adhesion and organ edema ("frozen abdomen" status) with severe retroperitoneal infection. Methods The treatment measures, therapeutic course and characteristics of 21 patients with retroperitoneal infection complicated with sepsis under "frozen abdomen" status admitted to Rizhao Hospital of Traditional Chinese Medicine from 2004 to 2017 were retrospectively analyzed, inductive therapeutic measure and characteristics and the clinical efficacy and prognosis were also observed. Results In 21 cases, 19 cases were cured clinically, 1 case died of massive hemorrhage and 1 case died of multiple organ failure (MOF). In the 8 cases, abdominal cavity opening were performed, no exposure of intestinal fistula occurred, although the abdominal wall hernias were left behind in 6 cases and pancreatic pseudo-cyst was formed in 1 case. The patients total time of hospitalization was (61.0±10.5) days, and the stay in Intensive Care Unit (ICU) was (28±5) days. Conclusion In the comprehensive treatments, the multi-form flushing drainages were the core of effective means to control the severe retroperitoneal infection.
ABSTRACT
Objective To explore the effect of damage control resuscitation in the treatment of severe liver injury.Methods We retrospectively analysed the clinical data of 86 cases of severe liver injury who had damage control resuscitation during a period of 10 years.Results In 86 cases of severe liver injury,10 patientsdied with mortality rate of 11.6%,and 76 patients were cured with cure rate of 88.4%.Conclusions Damage control resuscitation should be instituted throughout the whole perioperative process of severe liver injury,and early successful resuscitation is the key to improve the cure rate and reduce mortality.