Application of damage control resuscitation in treatment of severe multiple injuries combined with traumatic hemorrhagic shock
10.3760/cma.j.issn.1001-8050.2010.07.016
- VernacularTitle:损伤控制复苏在严重多发伤合并创伤失血性休克救治中的应用
- Author:
Jianlin FAN
;
Huigang QIAN
;
Mejia ZHUO
;
Guangan CHEN
;
Wanle QI
- Publication Type:Journal Article
- Keywords:
Wounds and injuries;
Multiple trauma;
Shock,hemorrhagic;
Damage control resuscitation
- From:
Chinese Journal of Trauma
2010;26(7):620-623
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of damage control resuscitation ( DCR) in the treatment of severe multiple injuries combined with traumatic hemorrhagic shock. Methods A retrospective analysis was done on 27 patients with severe multiple injuries combined with traumatic hemorrhagic shock treated by DCR. Another 32 patients treated with traditional aggressive/normotensive fluid resuscitation were used as control. Lactic acid clearance time, coagulation, diffuse intravascular coagulation (DIC) morbidity, and mortality were observed and compared between two groups. Results Compared with traditional aggressive/normotensive fluid resuscitation, DCR had better curative effect, shorter clearance time of lactic acid, more rapid recovery of blood coagulation function and lower incidence of DIC morbidity and lower mortality for patients with severe multiple injuries combined with traumatic hemorrhagic shock. Conclusions In the treatment of severe multiple injuries combined with traumatic hemorrhagic shock, the use of DCR can remarkably improve the survival rate of patients and also provide a new way for resuscitation and rescue of other types of shock patients.
