成年创伤患者的伤害控制复苏:你需要知道的
Danny T Lammers1, John B Holcomb
1From the Department of Surgery, Division of Acute Care Surgery, University of Alabama at Birmingham, Birmingham, AL.
The journal of trauma and acute care surgery
|September 22, 2023
概括
伤害控制复苏 (DCR) 是一种关键的创伤护理策略,用于解决因出血而导致的可预防死亡. 这种方法涉及早期使用血液制品,有限的液体和受控的复苏,以改善血液静止和生存.
科学领域:
- 创伤复苏 创伤复苏 复苏
- 血液性冲击管理 血液性冲击管理
- 紧急医疗 紧急医疗
背景情况:
- 出血是受伤后的主要,可预防的死亡原因.
- 超过二十年的军事和民用研究已经为当前的创伤护理提供了信息.
- 伤害控制复苏 (DCR) 已成为创伤护理的标准.
研究的目的:
- 描述损害控制复苏的演变和原理.
- 概述在创伤中输血的历史背景.
- 详细介绍现代DCR的组件和应用.
主要方法:
- 对创伤复苏的历史数据和研究进行审查.
- 医院前和医院内DCR协议的描述.
- 解释DCR原则,包括血液控制,输血策略和复苏目标.
主要成果:
- DCR整合了暂时的出血控制,早期平衡的血液产品输血和有限的晶体化物使用.
- 低血压复苏用于增强血液静止和减轻凝血病.
- 代谢障碍的纠正和快速的最终出血控制是关键组成部分.
结论:
- 伤害控制复苏是当前创伤复苏护理的标准.
- DCR原则是从平民和军事创伤中学到的经验教训中演变出来的.
- 这种方法旨在减少可能可预防的出血导致的死亡率.
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