Preliminary Application Of Damage Control Concept In The Treatment Of Severe Fractures With Multiple Injuries

Objective:This article uses the concept of damage control treatment to compare the staged,systemic treatment with early definitive surgical treatment for patients with severe fractures and multiple injuries,and discusses the clinical treatment effects and prognosis under the guidance of the damage control concept,and provides corresponding information for actual clinical work.Clinical evidence and theoretical support.Materials and methods:From January 2018 to December 2020,48 patients with severe fracture and multiple injuries were treated in the Department of orthopedics and trauma center of China Japan Friendship Hospital of Jilin University.According to the treatment concept at that time,they were divided into group A and group B.group A was treated with staged operation in the Department of damage control orthopedics,and group B was treated with early definitive operation.The age,gender,emergency resuscitation treatment index,operation time,total blood transfusion,ICU length of stay,postoperative complications,mortality and other indicators were collected for quantitative analysis and comparison.The data of all patients were analyzed by SPSS23.0 statistical software.Result:Through the comparison of relevant data,the corresponding indicators of emergency resuscitation,total blood transfusion,ICU hospitalization time,orthopedic operation time,mortality and complication rate of patients with damage control treatment concept were significantly different from those of patients with early definitive operation treatment(P < 0.05),but the total hospitalization time of the two groups was not significantly different(P > 0.05).It is fully proved that the application of the concept of damage control resuscitation for limited fluid resuscitation and accommodative hypotension can stabilize the physiological state of patients faster and reduce the amount of blood transfusion.The physiological function of patients in group a treated with the concept of damage control resuscitation is faster than that of patients in group B treated with early definitive surgery because of early surgical intervention to control bleeding.Surgical intervention of damage control orthopedics is more conducive to the control of bleeding and postoperative rehabilitation.Conclusions:From this retrospective study of cases,For severely fractured polytrauma patients,using the concept of damage control orthopedics early restrictive resuscitation temporary fixation,the recovery of physiological status in the middle-term ICU,the implementation of a staged treatment program in the later definitive surgery can better improve the survival and healing rate,reduce the mortality rate and postoperative complications of the patients,thus providing better medical treatment to the patients.