摘要
目的：探讨骨科急诊手术应用于多发性创伤患者的临床效果.方法：选取2012年2月～2014年5月我院收治的62例多发性创伤患者,随机均分为对照组和观察组.对照组进行非急诊手术治疗,观察组行骨科急诊手术.综合比较2组患者颅内再出血量、伤口再出血量、消化道再出血量及肺炎并发症发生率的差异.结果：观察组颅内再出血量、伤口再出血量和消化道再出血量分别为184.3±26.7mL、77.4±14.5mL和162.4±23.7mL,对照组颅内再出血量、伤口再出血量和消化道再出血量分别为430.5±34.9mL、519.7±41.5mL和310.8±31.9mL.观察组各项再出血指标均显著低于对照组（P＜0.05）;观察组患者肺炎发生率为19.4％,低于对照组的45.2％ （P ＜0.05）.结论：骨科急诊手术对临床多发性创伤患者疗效确切,可有效减少患者后期再出血量,降低并发症发生率,值得临床推广使用.
Objective： ： To investigate the clinical effect of emergency operation in the Department of orthopedics in patients with multiple trauma. Method： From February 2012 to May 2014, 62 cases of multiple trauma patients in our hospital were randomly divided into control group and observation group. Control group were treated with non emergency operation, the observation group were treated by emergency operation. Comprehensive comparison between the two groups of patients with intracranial hemorrhage volume, the amount of re bleeding, bleeding volume and the incidence of pneumonia complications. Result： in the observation group of intracranial and the amount of bleeding, wound bleeding and digestive tract and the amount of bleeding were （ 184.3±26.7） mL, （77.4±14.5） mL and （ 162.4±23.7） mL control intracranial group and the amount of bleeding, wound bleeding and digestive tract and the amount of bleeding, respectively （430.5±34.9） mL, （519.7±41.5 ） mL and （310.8±31.9 ） mL. The indexes of the observation group were significantly lower than those of the control group （ P 〈0. 05） ; the incidence rate of pneumonia in the study group was lower than that in the control group （19.4% vs. 45.2%, P 〈0.05 ） . ConchlSion： The clinical effect of emergency operation in the Department of orthopedics for multiple trauma patients is exact, can effectively reduce the amount of late bleeding, and reduce the incidence of complications, it is worth to be popularized and used in clinical practice.
出处
《中国伤残医学》
2017年第14期15-16,共2页
Chinese Journal of Trauma and Disability Medicine
关键词
骨科
急诊手术
多发性创伤
Department of Orthopedics, emergency operation, multiple trauma
