损伤控制外科理论在重型颅脑损伤伴多发伤患者救治中的应用

Application of Damage Control Surgery in Severe Traumatic Brain Injury Combined with Multiple Injuries

摘要:

目的：探讨损伤控制外科(DCS)理念在重型颅脑损伤伴多发伤患者救治中的应用。方法：回顾性分析采用DCS理念救治的69例重型颅脑损伤伴多发伤患者的临床资料，总结应用DCS理念救治重型颅脑损伤伴多发伤患者的临床效果。结果：本组69例患者，随访6个月，按格拉斯哥结局量表(GOS)分级：恢复良好31例；中度残疾8例；重度残疾19例；植物状态5例；死亡6例。结论：应用DCS理念针对重型颅脑损伤伴多发伤患者及时给予救治，明显提高救治成功率，降低死亡率。

Abstract: Objective: To discuss the application of damage control surgery (DCS) in the treatment of severe traumatic brain injury combined with multiple injuries. Methods: The clinical data of 69 severe traumatic brain injury combined with multiple injuries patients who were treated with DCS were reviewed retrospectively. The concept and complications of DCS in treatment of severe traumatic brain injury combined with multiple injuries patients are summarized. Results: There are 69 patients, who’ve been followed up for 6 months. According to Glasgow outcome score method, 31 cases recovered well, 8 cases were moderate disability, 19 cases were severe disability, 4 cases were in vegetative state, and 6 cases died. Conclusions: Application of damage control surgery in severe traumatic brain injury combined with multiple injuries can improve the rescue efficiency and decrease the mortality.