Martin R R, Byrne M
Brooke Army Medical Center, San Antonio, Texas, USA.
Surg Clin North Am. 1997 Aug;77(4):929-42. doi: 10.1016/s0039-6109(05)70595-8.
Damage control procedures are being used with increasing frequency as the physiologic limits of the surgical patient are approached and recognized. These patients are returned to the SICU, where rapid restoration of circulating volume, normothermia, maintenance of oxygen delivery, and correction of transfusion-associated coagulopathy are essential to the success of the technique, which requires expeditious reoperation and completion of definitive surgical management. The potential need for early return to the operating room to control surgical bleeding must be recognized, as well as the difficulty in distinguishing between surgical bleeding and ongoing hemorrhage due to hypothermia and coagulopathy. Because the damage control technique is resource intensive and involves numerous personnel, organization and leadership are important to success.
随着手术患者生理极限被接近并被认识到，损伤控制程序的使用频率越来越高。这些患者被送回外科重症监护病房（SICU），在那里迅速恢复循环血容量、恢复正常体温、维持氧输送以及纠正输血相关凝血病对于该技术的成功至关重要，而该技术需要迅速再次手术并完成确定性手术治疗。必须认识到可能需要早期返回手术室以控制手术出血，以及区分手术出血与因体温过低和凝血病导致的持续出血的困难。由于损伤控制技术资源密集且涉及众多人员，组织和领导对于成功至关重要。
