Abstract:
Selective non traumatic emergency surgery patients are targets for damage control surgery (DCS) to prevent or treat abdominal compartment syndrome and the lethal triad. However, DCS is still a subject of controversy. As a concept, DCS describes a series of abbreviated surgical procedures to allow rapid source control of hemorrhage and contamination in patients with circulatory shock to allow resuscitation and stabilization in the intensive care unit followed by delayed return to the operating room for definitive surgical management once the patient becomes physiologic stable. If appropriately applied, the DCS morbidity and mortality can be significantly reduced.
摘要:
选择性非创伤性急诊手术患者是损伤控制手术(DCS)预防或治疗腹腔室综合征和致命三联症的目标。然而,DCS仍然是一个有争议的话题。作为一个概念,DCS描述了一系列简化的外科手术程序,以允许对患有循环休克的患者进行出血和污染的快速源控制,以允许在重症监护病房进行复苏和稳定,然后在患者生理稳定后延迟返回手术室进行明确的手术管理。如果应用得当,可以显著降低DCS的发病率和死亡率。