Brenneman F D, Rizoli S B, Boulanger B R
Department of Surgery, University of Toronto, Ont.
Can J Surg. 1994 Jun;37(3):237-9.
During the initial operation on victims of multisystem trauma, life-threatening hypothermia, metabolic acidosis and coagulopathy occasionally develop. Without the immediate control of active bleeding and correction of these abnormalities, the intraoperative death rate is high. A patient with severe abdominal trauma was successfully managed with staged laparotomies. The patient's initial surgery was abbreviated to allow the aggressive correction of hypothermia and coagulopathy before definitive reconstruction of bowel injuries. Abbreviated laparotomy for damage control should be a part of the surgical armamentarium in the management of severe abdominal trauma.
在对多系统创伤患者进行初次手术时，偶尔会出现危及生命的体温过低、代谢性酸中毒和凝血功能障碍。如果不立即控制活动性出血并纠正这些异常情况，术中死亡率会很高。一名严重腹部创伤患者通过分期剖腹手术成功得到救治。该患者的初次手术被简化，以便在最终修复肠道损伤之前积极纠正体温过低和凝血功能障碍。用于损伤控制的简化剖腹手术应成为严重腹部创伤治疗中外科手术手段的一部分。
