干出血:不可压缩的 永远不要说,永远不要说
Lian-Yang Zhang1, Hua-Yu Zhang2
1Department of Trauma Surgery, War Trauma Medical Center, State Key Laboratory of Trauma, Burn and Combined Injury, Daping Hospital, Army Medical University, Chongqing, 400042, China.
European journal of medical research
|March 6, 2024
概括
脱血的干出血 (TH) 的管理是具有挑战性的. 本综述建议将非压缩性干出血 (NCTH) 细分,并强调通过教育和设备重新设计来改善医院前外部出血控制.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 控制出血 控制出血
背景情况:
- 在军事和民用医学中,排血的干出血 (TH) 带来了重大挑战.
- 由于解剖学复杂性,传统的静血技术对于内部干出血是不够的.
- 非压缩性干出血 (NCTH) 的概念刺激了新控制方法的开发.
研究的目的:
- 审查控制NCTH的外部技术的演变.
- 解决医务人员对NCTH概念和治疗的理解不足的问题.
- 提出精细的干出血的分类和改善医院前护理的策略.
主要方法:
- 审查关于干出血和控制技术的现有文献.
- 对FDA批准和正在研究的NCTH器件 (例如,交叉带,REBOA) 的分析.
- 关于医务人员对NCTH的理解的认知调查的讨论.
主要成果:
- 专业带和REBOA为NCTH提供解决方案.
- 医务人员对NCTH存在知识缺口,部分原因是术语.
- 目前的NCTH分类可能过于简单.
结论:
- 建议将NCTH划分为"可压缩"和"REBOA可控制"类别.
- 外部NCTH控制需要一个全面的程序,包括设备改进,教育和并发症管理.
- 专业的护带仍然对医院前的医疗保健管理至关重要.
相关概念视频
Pneumothorax-I
204
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
204
Blood Pressure Imbalances and Circulatory Shock
774
Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
774
Veins of Thorax
796
The azygos system is a crucial part of the body's circulatory system and drains most of the thorax. It comprises the azygos, hemiazygos, and accessory hemiazygos veins.
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
The azygos vein, positioned just right of the midline and anterior to the vertebral column, begins at the junction of the right ascending lumbar and subcostal veins, terminating in the superior vena cava. This vein drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall.
The...
796
Veins of the Abdomen and Pelvis
588
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
588
Pneumothorax-II
145
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
145
Flail Chest-II
169
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
169


