| 二期计划再手术治疗地震多发伤 |
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Received:July 18, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王北岳 |
WANG Bei-yue |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command,Nanjing 210002,Jiangsu,China |
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| 赵建宁 |
ZHAO Jian-ning |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command,Nanjing 210002,Jiangsu,China |
zhaojianning.0207@163.com |
| 郭亭 |
GUO Ting |
南京军区南京总医院骨科，江苏 南京 210002 |
Department of Orthopaedics,Nanjing General Hospital of Nanjing Military Command,Nanjing 210002,Jiangsu,China |
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| 期刊信息：《中国骨伤》2008年21卷，第10期，第730-732页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:军区”十一五“课题(编号：06MA111) |
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目的：探讨损伤控制策略(DC)治疗后地震多发伤病员的处理及APACHEⅡ评分判定计划再手术时机。
方法：于2008年5月18日至6月30日对21例已实施DC的危重地震伤病员进行内科支持、外科干预，于重症监护室(ICU)恢复生理潜能，连续APACHE Ⅱ评分，判定伤病员生理状况及创伤程度，分期分阶段对骨与软组织伤实施关节内骨折的切开复位内固定、更改外固定支架为坚强的内固定方式、椎体爆裂骨折的内固定手术以及软组织重建等确定性手术。
结果：通过二期计划再手术策略对伤病员的确定性治疗，21例患者得到有效救治，并发症少，伤残率低，无死亡事件。
结论：适时评估患者生理潜能、判定手术时机、正确的选择手术方式可减少此类伤病员的并发症、伤残率及病死率。 |
| [关键词]:地震 多发损伤 损伤控制 骨折 再手术 |
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| Definitive postponed surgery for the casualties with multiple injuries in the earthquake |
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Abstract:
Objective: To explore the treatment of casualties who suffered from multiple injuries in earthquake and had been treated by damage control(DC) immediately,and the definite postponed surgery time by way of APACHE II score,
Methods: From May to June 2008,21 casualties who had undergone DC accepted further treatment of medicine and surgery, and recovered physical potentiality in the intensive care unit(ICU). APACHE II score was adopted to evaluate the casualties' physical potentiality. Then,internal fixation of intra-articular fractures and centrum fractures,alternation from external fixation to internal fixation,reconstruction of soft tissue was applied by stages according to the plan.
Results: All the patients were effectively cured after definite postponed surgery. There was less complication,low deformity ratio and no death happened.
Conclusion: Timely evaluation of the casualties' physical potentiality,appropriate surgery time and exact surgery can reduce the casualties' complication,deformity rate and death rate. |
| KEYWORDS:Earthquake Injuries,multiple Damage control Fractures Surgery,repeat |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王北岳,赵建宁,郭亭.二期计划再手术治疗地震多发伤[J].中国骨伤,2008,21(10):730~732 |
| 英文格式: | WANG Bei-yue,ZHAO Jian-ning,GUO Ting.Definitive postponed surgery for the casualties with multiple injuries in the earthquake[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):730~732 |
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