Clinical Effect Damage Control Surgery and One-stage Deterministic Sur-gery in the Treatment of Severe Traumatic Liver Rupture
Objective To investigate the clinical value of damage control surgery and one-stage deterministic surgery in the treatment of severe traumatic liver rupture(STLR).Methods A total of 80 patients diagnosed with STLR in Pu-tian Shengxing Hospital from January 2020 to January 2024 were randomly selected as the study objects,and were di-vided into two groups according to different surgical treatment methods,with 40 cases in each group.The control group received one-stage deterministic surgical treatment,and the observation group received damage control surgical treatment.The basic indexes of operation,the levels of serum stress factors at different operation stages and the occur-rence of postoperative complications were compared between the two groups.Results The basic indexes of the observa-tion group(operation time,intraoperative blood loss,temperature normalization time,lactic acid clearance time and length of hospital stay)were better than those of the control group,and the differences were statistically significant(all P<0.05).7 days after surgery,the levels of serum stress factors(epinephrine,cortisol,C-reactive protein,inter-leukin-6)in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The total complication rate in the observation group was 5.00%(2/40)lower than that in the control group 20.00%(8/40),and the difference was statistically significant(χ2=4.114,P=0.043).Conclusion Com-pared with one-staye deterministic surgery,damage control surgery for STLR patients has shorter operation time,less blood loss,faster recovery,and can more effectively reduce the body's stress response and reduce the occurrence of complications.
Severe traumatic liver ruptureDamage control surgeryOne-stage deterministic surgeryStress factorComplication
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