Effect of damage control surgery principle in the treatment of severe multiple injury combined with flail chest

WEI Tan-ming; YAN Jing-huang

doi:10.3969/j.issn.1009-4237.2017.07.009

Abstract：Objective To explore the effect of damage control surgery principle in the treatment of severe multiple injury combined with flail chest.Methods Eighty-six patients with severe multiple trauma and flail chest,who were treated in the First People's Hospital of Wuxue from Mar.2013 to Sep.2015,were selected and divided into the study group(48 cases who were treated with damage control surgery after Jun.2014) and the control group (38 cases who were not treated with damage control surgery before Jun.2014).The success rate of treatment and the incidence of complications were observed in the two groups.The depth of inspiratory capacity (IC),forced vital capacity (FVC),forced expiratory volume (FEV1),and total lung capacity (TLC) at 3 months after discharge were compared.Results The lethal triad in the study group was less than the control group,and the difference was statistically significant (P<0.05).Forty-four cases were successfully treated in the study group,with the success rate of 91.7%.In the control group,28 cases were successfully treated,and the success rate was 73.7%.The success rate of the study group was significantly higher than that of the control group (P<0.05).The complication rate was 16.7% in the study group and 42.1% in the control group,and the incidence of complications in the study group was significantly lower than that in the control group (P<0.05).IC,FVC,FEV1 and TLC were significantly higher in the study group than those in the control group (P<0.05) at 3 months after discharge.Conclusion Using damage control surgery principle in treatment of severe multiple injury with flail chest can make obtain fast treatment,effectively avoid the stress response to trauma and obtain a high cure rate.