为军事提供者提供泌尿外伤管理
Shane Kronstedt1, Eric Wahlstedt2, Mason Blacker3
1Department of Urology, Baylor College of Medicine, Houston, TX 77030-3411, USA.
Military medicine
|July 19, 2024
概括
战斗性泌尿器 (GU) 创伤,特别是自制爆炸装置 (IED) 的创伤,已经增加. 有效的管理需要优先考虑高级创伤生命支持 (ATLS) 和加强对战场GU伤害的医疗准备.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 创伤外科 手术 创伤外科
- 军事医学 军事医学
背景情况:
- 生殖尿路 (GU) 创伤是战斗医学中未被充分探索的一个方面.
- 在现代冲突中,即兴爆炸装置 (IED) 导致 GU 伤害的增加.
- 先进的盔甲已经将伤害模式转移到膀和外部生殖器.
研究的目的:
- 为了提供一个概述在战斗环境中生殖尿道创伤.
- 为了提高医疗准备,管理战场GU伤害.
- 审查有关战斗中泌尿外伤管理的当前文献.
主要方法:
- 对PubMed,Cochrane Central,Scopus和Web of Science数据库进行系统审查.
- 搜索术语包括"伤口"",伤害"",出血"",创伤"",阴茎"",生殖器"和"战斗"的变化.
- 纳入标准集中在2001年以后与战斗有关的泌尿外伤相关的英语出版物上.
主要成果:
- 33篇文章符合审查的纳入标准.
- 审查的重点是脏,尿道,膀,阴茎,尿道和丸受伤的管理.
- 还考虑了中枢神经系统 (CNS) 损伤和女性GU损伤.
结论:
- 现代冲突中GU创伤的治疗必须是高级创伤生命支持 (ATLS) 的次要治疗.
- 增加GU创伤的严重程度与爆炸装置有关,强调了需要保护的需要.
- 军事医生对于GU伤害评估和管理至关重要,强调培训和整合到多创伤护理中.
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