对于腹部枪伤的损害控制腹腔切除术的十年长的概述
Reuben He1, Victor Kong2,3, Jonathan Ko4
1Department of Surgery, The University of Auckland, Auckland, New Zealand. rhe351@aucklanduni.ac.nz.
概括
对腹部枪伤 (GSW) 的损伤控制腹腔切除术 (DCL) 与高死亡率有关. 完善DCL的指示对于改善GSW患者的治疗结果至关重要,因为GSW患者需要这种挽救生命的手术技术.
科学领域:
- 创伤外科 手术 创伤外科
- 手术重症监护手术重症监护
- 紧急医疗 紧急医疗
背景情况:
- 在过去的三十年中,损伤控制腹腔切除术 (DCL) 已成为腹部枪伤 (GSW) 的关键干预措施.
- 这项研究回顾了单一机构在管理GSW患者时使用DCL的十年经验.
研究的目的:
- 分析DCL在患有腹部GSW的患者中的利用和结果.
- 确定与在GSW管理中需要DCL相关的因素.
主要方法:
- 对从2013年到2022年的纵向数据进行了回顾.
- 腹部GSW患者被分为DCL和非DCL组.
- 进行描述性,单变量和多变量分析以确定相关变量.
主要成果:
- 135名患者 (32%) 接受了DCL,而290人 (68%) 没有.
- 结肠,小肠,中肠,肝脏,胰腺和腹内血管的损伤与DCL有关 (P<0.05).
- 死亡率在DCL组 (33%) 与非DCL组 (6%) 相比显著更高 (P<0.001).
结论:
- 大约三分之一的腹部GSW进行腹腔切除的患者需要DCL.
- 对DCL的征兆包括生理状态和损伤模式.
- DCL与大量的发病率和死亡率有关,因此需要对其在GSW管理中的应用进行改进.
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