[摘 要] 目的：探讨对严重腹部损伤患者实施损伤控制性手术的方法及策略，从而提高创伤的抢救成功率。方法：对72例腹部损伤患者进行初步急救处理后，按照ISS创伤评分，对ISS评分≤16的患者实施I期确定性手术，对ISS评分>16的患者实施损伤控制原则，采取分期处理：应急简化手术、ICU复苏、实施II期确定性手术。结果：72例腹部损伤患者均进行了剖腹探查术，临床治愈68例(94.44%)。对11例严重腹部外伤患者实施DCO，应急简化手术处理止血均成功，行II期计划性手术；II期手术后1例出现肝脓肿，2例出现胆瘘，1例出现隔下感染，经抗炎及引流痊愈；4例患者死亡。结论：对于符合DCO指针的严重腹部损伤患者，实施DCO可以减少并发症，并提高患者的救治成功率。

    [关键词] 严重腹部外伤；损伤控制手术

    [Abstract] Objective： serious abdominal injury patients to implement damage control strategies and methods of operation, so as to improve the trauma of the rescue the success rate. Methods :72 cases of patients with abdominal injury preliminary emergency treatment, according to ISS trauma score, the ISS score of patients than 16 implementation stage I certainty surgery, to score > 16 patients ISS implement damage control principle, deal with by stages: the emergency resuscitation, simple operation, ICU implementation phase II certainty surgery. Results: 72 cases of patients with abdominal injury are subject to a perirenal abscess, clinical cure 68 cases (94.44%). On 11 cases with severe abdominal trauma patients implementation DCO, emergency surgical treatment are simplified bleeding success, line phase II planning operation; Phase II surgery in 1 appear liver abscess, 2 cases appear bile leak, 1 case appears between the infection, the anti-inflammatory and drainage well; Four patients died. Conclusion :in accordance with the serious DCO pointer abdominal injury patients, implement DCO can reduce complications, and improve the treatment of patients with success rate. ......