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目的探讨研究多发伤合并骨折患者的临床急诊救治方法。方法选择本院自2009年1月至2010年9月的72例多发伤合并骨折患者进行了治疗,患者被随机分为对照组与研究组36例,分别行传统常规骨折救治与损伤控制策略下的急诊救治,并对结果进行了对比。结果在住院时间、病死率、急性呼吸窘迫综合征ARDS、多器官功能不全综合征MODS、骨折愈合时间、术后ISS评分等治疗效果方面,使用了损伤控制原则的研究组患者在上述指标方面显著优于对照组并具备统计学差异。结论对于多发伤合并骨折患者,合理应用DCO原则,迅速准确的诊断和一体化治疗,可以有效地提高严重骨科损伤患者的生存率及预后结果。
Objective To study the clinical emergency treatment of patients with multiple injuries and fractures. Methods Seventy-two patients with multiple injuries and fractures were selected from January 2009 to September 2010 in our hospital. The patients were randomly divided into control group and study group, 36 cases were treated with conventional fracture treatment and injury control strategy Emergency treatment, and the results were compared. Results The study group using the principle of injury control showed significant improvement in the above indexes in terms of hospitalization time, case fatality rate, acute respiratory distress syndrome ARDS, multiple organ dysfunction syndrome MODS, fracture healing time and postoperative ISS score Better than the control group and with statistical differences. Conclusion For patients with multiple injuries and fractures, the rational application of DCO principle, rapid and accurate diagnosis and integrated therapy can effectively improve the survival rate and prognosis of patients with severe orthopedic injuries.