Damage control resuscitation in the treatment of severe liver trauma with great blood loss
AI Tao
GAO Jin-mou
HU Ping
Abstract：Objective To discuss the treatment strategies of damage control resuscitation in rescuing severe liver trauma with great blood loss.Methods Thirty-one cases(20 males and 11 females ranged from 19 to 75 years with and average of 32.7 years) of severe liver trauma with great blood loss treated with damage control resuscitation strategy ( limited fluid resuscitation , hemorrhagic resuscitation , damage control operation ) were retrospectively ana-lyzed from Jan.2009 to Jan.2014.The treatment outcome,including the resuscitative results,the outcome and the complications was analyzed .Results Resuscitation surgeries were successfully conducted in all patients .Twenty-four cases reached resuscitation goal [HR≤120 times/minutes,BP 90/60mmHg,CVP 6-8mmHg,urine volume 0.5-1ml/(kg· min)] before sent to the ICU.Three cases developed disseminated intravascular coagulation .Twenty six patients were cured and 5(16.13%) died.Conclusion Application of damage control resuscitation in the treatment of patients with severe liver injury with great blood loss ,combined with early correction of hypothermia ,aci-dosis,and coagulation disorders ,can significantly improve the survival rates .
Keywords：liver injuryhemorrhagic shockdamage controlresuscitation
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 25-27 )