Efficacy of damage control surgery for severe abdominal trauma / 中国基层医药

ABSTRACT

Objective To investigate the efficacy of damage control surgery for severe abdominal trauma.Methods The clinical data of 82 cases with severe abdominal trauma who received damage control surgery (DCS group) were retrospectively analyzed.The treatment conditions and treatment effect were analyzed.Another 82 cases with abdominal trauma who were not given damage control operation were considered as the control group.Results In DCS group,71 cases improved,the effective rate was 86.6％;11 cases deaths,mortality was 13.4％.4 cases had severe liver rupture,36h after surgery died of multiple organ failure ;3 cases of colon damage,1 d concurrent infections in the postoperative shock and died ;3 cases of retroperitoneal hematoma complicated with coagulopathy,died 20h after operation.In control group,82 cases of abdominal trauma patients after conventional treatment,73 cases improved,and the effective rate was 89.0％ ;9 deaths,mortality was 10.9％.71 patients of DCS group after resuscitation after ICU oxygen saturation,temperature,PH value,PT value and ICU resuscitation significantly improved compared with before treatment,the differences were statistically significant(t =2.467,2.449,2.738,2.453,all P ＜ 0.05),compared with the control group,the differences were not statistically significant (t =1.303,1.312,1.341,1.325,all P ＞ 0.05).Conclusion Damage control surgery for severe abdominal trauma achieved good effect,it is an effective treatment for severe abdominal trauma.