The Application Of Damage Control Surgery In The Remedy Of Patients Of Abdominal Injury With Severe Polytrauma

Objective: Toinvestigatetheeffectofdamagecontrolsurgery(DCS)intheremedy ofpatientsofabdominalinjurywithseverepolytraumaandtosummarizetheexperience fortheimprovementofrescue.Methods: Dataof59 patientsofabdominalinjurywithseverepolytraumafrom May2012toMay2015wereanalyzedretrospectively.Allpatients,according toinjuryseverityscore(ISS),weredividedintodamagegroup(ISS?16~<35)whichincluded39casesandDCS group(ISS?35)whichincludedof20cases.DCSwasputintopracticeamongtheDCSgroupof20cases(33.9%).Recoverytimeofbodytemperature,lacticacidclearancetime,coagulationin thedurationofresuscitationanddisseminatedintravascularcoagulation(DIC)morbidity,mortality ofpostlaparotomy complication were observed and compared between two groups respectively.Results There were no significantdifferencesinrecoverytimeofbodytemperature,thelacticacid clearancetime,andcoagulation(P>0.05).Theoccurrenceratecomplications,DICmortalitybetweentwogroupsshowednosignificantdifferences(P>0.05).Conclusion Intheremedyforpatientsofabdominalinjurywithsevere polytrauma,rationalapplicationofdamagecontrolsurgerycancorrectserious disturbanceintheinternalenvironmentandcaneffectivelylowerincidence rateofpostlaparotomycomplicationsandmortality.