多创伤患者的骨折固定-从跨学科的早期全面/适当的护理到安全的最终手术概念
Yannik Kalbas1, Sandro-Michael Heining1, Anne Kaiser2
1Department of Trauma Surgery, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Frontiers in medicine
|May 6, 2024
概括
在多创伤患者中定时修复骨折的策略已经发展. "安全的最终手术"的新标准有助于确定主要骨折固定的最佳时间,改善患者的治疗结果.
科学领域:
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
- 临界护理医学 临界护理医学
背景情况:
- 多创伤中骨折固定时间随着复苏的进步而演变.
- 损害控制标准和患者评估得到了改进.
- 目标参数现在指导初级最终固定的决策.
研究的目的:
- 在多创伤中介绍"安全的最终手术"的概念.
- 更新清除患者的参数,以便及时固定骨折.
- 为手术时间提供基于数据的建议.
主要方法:
- 对多创伤骨折管理的当前策略和标准的审查.
- 对客观参数与现有评分系统的验证.
- 对支持及时最终固定的数据的分析.
主要成果:
- 建立了安全的最终手术的客观和基于数据的标准.
- 验证了用于初级固定患者选择的新参数.
- 在断裂固定时间的决策方面取得了明显的改进.
结论:
- 目前关于骨折固定时间的建议是基于证据的.
- "安全的终极手术"为最佳的多创伤护理提供了一个框架.
- 精确的参数可以提高患者的选择,以便及时固定主要骨折.
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