The application experience of damage control surgery in treatment of serious abdomen trauma

Abstract

Objective To discuss the clinical value of damage control surgery(DCS) treats the serious abdomen trauma,summarizes the surgery experience.Methods In this article from July 2002 to July 2009 we used the damage control surgical principle to treat 51 cases traumatic injury abdomen patients,the comprehensive surgery material and the following treatment' s situation carried on the review analysis.The first priority of DCS was hemorrhage control.The second purpose of DCS in first phase was contamination control Results 51 patients all apply the treatment of damage control surgery.Following the above simplified operation,patients were transferred to ICU for resuscitation.all patients accept the corresponding form once more definite surgery and had been done in 72 hours.Cures 42 cases(82.3%) ,after once more surgery technique,presents.the abdominal cavity abscess 2 cases (3.9%) ,the adhesion not entire intestinal obstruction 3 cases (5.9%) ,after conservative treatment healing; 4 cases died (7.8%) ,the cause of death had nothing to do with the surgery.Conclusion Conforms to the serious abdomen wound patient who DCS refers to drafts,should choose suitable the surgery to treat the way positively,follows the damage control surgical department principle strictly,saves the patient life vigorously. Key words: Control surgery; Damage; Abdomen