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损伤控制性急救一体化在严重多发伤患者救治中的应用

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目的:分析损伤控制性急救一体化在严重多发伤患者救治中的应用效果.方法:回顾性分析贵州省骨科医院 2020 年 3 月—2023 年 2 月收治的 78 例严重多发伤患者临床资料,根据不同急救方法进行分组,各 39 例.参照组实施常规急救模式,研究组实施损伤控制性急救一体化模式.对比两组院内急救时间、确诊时间、住院时间、急救成功率和血浆、浓缩红细胞、晶体溶液输注量,以及创伤严重程度评分(ISS)、急性生理学和慢性健康状况评价Ⅱ(APACHEⅡ)评分.统计两组不良事件发生率.结果:研究组院内急救时间、确诊时间、住院时间均短于参照组,浓缩红细胞、血浆、晶体溶液输注量均少于参照组(P<0.05);研究组急救成功率为 87.18%,高于参照组的 66.67%(P<0.05).急救后,研究组ISS、APACHEⅡ评分均低于参照组(P<0.05).研究组不良事件总发生率低于参照组(P<0.05).结论:在严重多发伤患者救治中采用损伤控制性急救一体化模式可提高急救时间效能,有效减少其失血量,提高急救成功率,降低不良事件发生率.
Application of Damage Control Emergency Integration in the Remedy of Patients with Severe Multiple Injury
Objective:To analyze the application effect of damage control emergency integration in the remedy of patients with severe multiple injury.Method:The clinical data of 78 patients with severe multiple injury admitted to Guizhou Provincial Orthopedics Hospital from March 2020 to February 2023 were retrospectively analyzed,and they were divided into groups according to different emergency treatment methods,with 39 cases in each group.The reference group implemented the conventional emergency treatment mode,and the study group implemented the damage control emergency integration mode.The nosocomial emergency treatment time,diagnosis time,hospital stay,success rate of emergency treatment and infusion volume of plasma,packed red blood cell and crystalloid solution,and injury severity score(ISS),acute physiology and chronic health evaluation Ⅱ(APACHEⅡ)scores were compared between the two groups.The incidence of adverse events in the two groups was counted.Result:The nosocomial emergency treatment time,diagnosis time and hospital stay of the study group were shorter than those of the reference group,and infusion volume of plasma,packed red blood cell and crystalloid solution of the study group were lower than those of the reference group(P<0.05).The success rate of emergency treatment in the study group was 87.18%,which was higher than 66.67%in the reference group(P<0.05).After first aid,ISS and APACHEⅡ scores of the study group were lower than those of the reference group(P<0.05).The total incidence rate of adverse events of the study group was lower than that of the reference group(P<0.05).Conclusion:Damage control emergency integration mode in the remedy of patients with severe multiple injury can improve the efficiency of emergency treatment time,effectively reduce the blood loss,improve the success rate of emergency treatment,and reduce the incidence of adverse events.

Damage control emergency integrationSevere multiple injuryAdverse eventsAPACHEⅡ

徐德富、宋华、易鹏

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北京积水潭医院贵州医院(贵州省骨科医院)急诊科 贵州 贵阳 550007

损伤控制性急救一体化 严重多发伤 不良事件 急性生理学和慢性健康状况评价Ⅱ

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(9)
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