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目的:探究损伤控制性外科(DCS)在外科腹部危急重症中的应用及方法分析。方法:随机选取并回顾分析2007-06至2012-06于我院外科治疗腹部危急重症患者97例,对照组为我院完全实行DCS之前的47例患者,研究组为我院完全实行DCS之后的50例患者。对比分析两组患者疗效、住院时间、正常工作恢复时间等指标。结果:研究组治疗后存活率明显优于对照组,差异具有统计学意义(p<0.05)。且后者术后并发症明显高于前者(p<0.05),存在统计学意义。结论:DCS在治疗此类高能量损失的腹部创伤或需要开腹手术的疾病上有明显优势,能够有效降低死亡率和并发症率。值得临床推广。
Objective: To investigate the application and method analysis of traumatic control surgery (DCS) in critical severe abdominal surgery. Methods: Randomly selected and analyzed from 2007-06 to 2012-06 in our hospital 97 cases of severe acute abdominal surgery patients, the control group for the implementation of our hospital before the full 47 patients with DCS, the study group for the hospital after the full implementation of DCS 50 patients. Comparative analysis of two groups of patients efficacy, hospital stay, normal work recovery time and other indicators. Results: The survival rate of the study group was significantly better than that of the control group, the difference was statistically significant (p <0.05). And the latter postoperative complications were significantly higher than the former (p <0.05), there is a statistically significant. CONCLUSIONS: DCS has significant advantages in treating such high energy loss abdominal trauma or diseases requiring laparotomy and can effectively reduce the mortality and complication rates. Worth clinical promotion.