法国实践的紧急复苏胸腔切除术. 一项基于创伤数据库注册表的研究
Hilaire de Malleray1, Henri de Lesquen2, Guillaume Boddaert3
1Department of Anesthesiology and Critical Care Medicine, Sainte Anne Military Teaching Hospital, Toulon, France.
Journal of visceral surgery
|August 3, 2024
概括
紧急复苏胸腔切除术 (ERT) 是一种拯救生命的创伤手术,在法国未得到充分利用. 经过培训的团队在选定的患者中显示出显著的生存率,突出其潜力,尽管目前的实践率较低.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 手术重症监护手术重症监护
背景情况:
- 紧急复苏胸腔切除术 (ERT) 是极端创伤患者的关键干预措施.
- 它在法国创伤中心的应用和结果没有得到很好的描述.
研究的目的:
- 分析法国ERT的全国实践模式.
- 评估ERT成功的结果和预测因素.
主要方法:
- 2015-2021年接受ERT的严重创伤患者的全国性注册分析.
- 收集的数据包括人口统计,医院前护理,住院结果以及24小时和28天的生存率.
主要成果:
- 在26个创伤中心中,只有10个有效地实践ERT,频率有限.
- 66名患者 (74%男性,平均年龄37岁) 接受了ERT,主要是因为重的创伤.
- 在24小时和28天的整体生存到救援分别为27%和15%,穿透创伤与耐火冲击的更高率 (24小时64%,28日47%) 较高.
结论:
- 在法国的创伤护理中,ERT是一种未被充分利用但可能挽救生命的手术.
- 选择的患者,特别是那些经历过透性创伤和耐火性休克的患者,表现出显著的生存益处.
- 受过训练的团队将ERT更多地纳入创伤协议是有必要的.
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