Clinical application of damage control surgery in treatment of severe liver trauma
10.3760/cma.j.issn.1001-8050.2011.05.003
- VernacularTitle:损伤控制在救治严重肝脏创伤中的临床应用
- Publication Type:Journal Article
- Keywords:
Multiple trauma;
Liver;
Damage control
- From:
Chinese Journal of Trauma
2011;27(5):392-395
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical application of damage control (DC)in the treatment of severe liver trauma. Methods A retrospective study was done to analyze the clinical data of 28patients with severe liver trauma ( Ⅲ-Ⅵ degree) who had the complications of hemodynamic instability,hypothermia, metabolic acidosis and blood coagulation disturbance and were treated with DC from April 2003 to April 2010 to sum up the operation indication, complications and mortality rate of DC. Results Of all the patients, 16 patients were cured and four died, with cure rate of 80% and mortality rate of 20%. Ten patients (50%) had complications after operation. Conclusions For the patients with severe liver trauma, DC is a safe and reliable operation method and can effectively lower complications and mortality rate when there appear hemodynamic instability, hypothermia, metabolic acidosis and blood coagulation disturbance complications.
