多重肋骨骨折患者的当代管理:你需要知道的
Babak Sarani1, Fredric Pieracci
1From the Center for Trauma and Critical Care, Department of Surgery (B.S.), George Washington University, Washington, DC; and Department of Surgery (F.P.), Denver Health Medical Center, Denver, Colorado.
肋骨骨折的手术稳定 (SSRF) 提供了一种有前途的方法来管理复杂的肋骨骨折,减少死亡率和改善患者的治疗结果. 本综述详细介绍了SSRF的标准,技术和非操作性管理策略.
科学领域:
- 创伤外科 手术 创伤外科
- 胸部外科手术 胸部外科手术
- 关键护理医学 关键护理医学
背景情况:
- 肋骨骨折影响了10%的受伤患者和55%的胸部受伤患者.
- 肋骨骨折的死亡率与骨折严重程度,数量,患者年龄和并发症相关.
- 肺炎是死亡的主要原因,原因是吐和深呼吸受损.
研究的目的:
- 提供关于手术稳定肋骨骨折 (SSRF) 的全面概述.
- 为了指导临床决策关于患者分拣,入院和SSRF.
- 讨论操作技术,成本效益和非操作管理.
主要方法:
- 对SSRF当前文献和临床实践指南的审查.
- 分析支持SSRF标准,时间和外科手术技术的证据.
- 对肋骨骨折的非手术治疗方式的评估.
主要成果:
- 在过去的25-30年里,SSRF吸引了新的兴趣.
- 该审查概述了实施SSRF的具体标准和证据.
- 强调非手术性管理策略是护理的关键组成部分.
结论:
- 对于特定的肋骨骨折病例来说,SSRF是一种可行的选择,可以改善结果.
- 仔细选择患者和及时干预是SSRF成功的关键.
- 整合非手术护理与手术选择优化了患者管理.
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