title: [Strategy and analysis of early management on ninety multiple trauma patients].
abstract: OBJECTIVE
  To explore the therapeutical effects through investigating the results of multiple traumas treated by means of damage control surgery (DCS) or early total care (ETC).
  
  
  METHODS
  The clinical data of 90 patients with severe multiple traumas admitted from June 2001 to June 2007 were analyzed retrospectively. Forty-five patients were classified to the DCS group, 45 patients to the ETC group as a control. These severely injured patients were selected with an ISS > 25 points.
  
  
  RESULTS
  Between the two groups, the recovery time of clearance of lactic acid, body temperature, prothrombin time (PT) and activated partial thromboplastin time (APTT) of DCS group was significantly shorter than that of ETC group (P < 0.05). Incidence of complications and mortality in DCS group was significant less than that in ETC group (P < 0.05). No significant differences existed in the volume of bleeding and duration of surgery (P > 0.05).
  
  
  CONCLUSIONS
  The concept of DCS could reduce multiple traumas patients' mortality rate and incidence of complications. The indication of DCS should be the combination of physical feature, mechanism and severity of injuries.
authors.affiliation: Department of Orthopaedics, Changhai Hospital, Second Military Medical University, Shanghai 200433, China. doctorybq@yahoo.com.cn
authors.forename: Bao-qing
authors.initials: BQ
authors.lastname: Yu
authors.forename: Hai-bo
authors.initials: HB
authors.lastname: Hu
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.forename: Yu
authors.initials: Y
authors.lastname: Wang
authors.forename: Kai-wei
authors.initials: KW
authors.lastname: Han
authors.forename: Jia-can
authors.initials: JC
authors.lastname: Su
authors.forename: Hui
authors.initials: H
authors.lastname: Liu
authors.forename: Chun-cai
authors.initials: CC
authors.lastname: Zhang
authors.forename: Yu-shu
authors.initials: YS
authors.lastname: Bai
authors.forename: Xiao-bing
authors.initials: XB
authors.lastname: Cai
authors.forename: Hao
authors.initials: H
authors.lastname: Tang
authors.forename: Jing-feng
authors.initials: JF
authors.lastname: Li
mesh_terms: D005260:Female; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009104:Multiple Trauma / Q000628:therapy*; D016896:Treatment Outcome