| 损伤控制策略救治严重多发伤的临床分析 |
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| 引用本文： | 崔世涛,葛奎,徐兵,庄育刚,彭沪,陈蓓敏. 损伤控制策略救治严重多发伤的临床分析[J]. 同济大学学报(医学版), 2008, 29(6) |
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| 作者姓名： | 崔世涛 葛奎 徐兵 庄育刚 彭沪 陈蓓敏 |
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| 作者单位： | 同济大学附属第十人民医院急诊科,上海,200072;同济大学附属第十人民医院急诊科,上海,200072;同济大学附属第十人民医院急诊科,上海,200072;同济大学附属第十人民医院急诊科,上海,200072;同济大学附属第十人民医院急诊科,上海,200072;同济大学附属第十人民医院急诊科,上海,200072 |
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| 摘 要： | 目的总结应用损伤控制策略救治严重多发伤的经验。方法回顾分析应用损伤控制策略救治108例严重多发伤的经过及损伤控制救治措施的选择情况。结果除19例因发展很快的失血性休克（7例）、严重脑挫伤（6例）、难以控制的感染（4例）、MODF（2例）而死亡外，89例得到救治，抢救成功率82．4％。结论建立主诊医师负责的急诊救治小组，应用损伤控制策略开展救治是当前急诊严重多发伤救治较好的模式。
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| 关 键 词： | 损伤控制 多发伤 急诊医学 |
Clinical analysis of damage control surgery principles in treating severe multi-trauma |
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| CUI Shi-tao,GE Kui,XU Bing,ZHUANG Yu-gang,PENG Hu,CHEN Bei-min. Clinical analysis of damage control surgery principles in treating severe multi-trauma[J]. Journal of Tongji University(Medical Science), 2008, 29(6) |
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| Authors: | CUI Shi-tao GE Kui XU Bing ZHUANG Yu-gang PENG Hu CHEN Bei-min |
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| Affiliation: | CUI Shi-tao,GE Kui,XU Bing,ZHUANG Yu-gang,PENG Hu,CHEN Bei-min (Dept.of Emergency,Tenth People's Hospital,Tongji University,Shanghai 200072,China) |
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| Abstract: | Objective To explore the current management strategy and effect of damage control surgery (DCS) for severe multi-trauma.Methods The clinical data of 108 cases with severe multi-trauma were analyzed retrospectively.Results Damage control operations were performed in all 108 patients.Except for 19 patients including 7 cases of developing hemorrhagic shock,6 cases of serve brain contusion,4 cases of hard controlling infection and 2 cases of multiple organ dysfunction failure(MODF),89 patients were cured with a... |
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| Keywords: | damage control surgery multi-trauma emergency medicine |
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