title: Surgical treatment strategy for multiple injury patients in ICU.
abstract: OBJECTIVE
  To investigate the surgical treatment for patients with multiple injuries in ICU.
  
  
  METHODS
  Clinical data of 163 multiple injury patients admitted to ICU of our hospital from January 2006 to January 2009 were retrospectively studied, including 118 males and 45 females, with the mean age of 36.2 years (range, 5-67 years). The injury regions included head and neck (29 cases), face (32 cases), chest (89 cases), abdomen (77 cases), pelvis and limbs (91 cases) and body surface (83 cases). There were 57 cases combined with shock. ISS values varied from 10 to 54, 18.42 on average. Patients received surgical treatments in ICU within respectively 24 hours (10 cases), 24-48 hours (8 cases), 3-7 days (7 cases) and 8-14 days (23 cases).
  
  
  RESULTS
  For the 163 patients, the duration of ICU stay ranged from 2 to 29 days, with the average value of 7.56 days. Among them, 143 were cured (87.73%), 11 died in the hospital (6.75%) due to severe hemorrhagic shock (6 cases), craniocerebral injury (3 cases) and multiple organ failure (2 cases), and 9 died after voluntarily discharging from hospital (5.52%). The total mortality rate was 12.27%.
  
  
  CONCLUSIONS
  The damage control principle should be followed when multiple injury patients are resuscitated in ICU. Surgical treatment strategies include actively controlling hemorrhage, treating the previously missed injuries and related wounds or surgical complications and performing planned staging operations.
authors.affiliation: State Key Laboratory of Trauma, Burns and Combined Injury, Trauma Center of PLA, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China. dpzhangly@163.com
authors.forename: Lian-yang
authors.initials: LY
authors.lastname: Zhang
authors.forename: Yuan-zhang
authors.initials: YZ
authors.lastname: Yao
authors.forename: Dong-po
authors.initials: DP
authors.lastname: Jiang
authors.forename: Jian
authors.initials: J
authors.lastname: Zhou
authors.forename: Xian-kai
authors.initials: XK
authors.lastname: Huang
authors.forename: Yue
authors.initials: Y
authors.lastname: Shen
authors.forename: Jian
authors.initials: J
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery