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严重创伤性脑损伤和肺栓塞:风险,预防,诊断和管理
Charikleia S Vrettou1, Effrosyni Dima1, Nina Rafailia Karela1
1First Department of Critical Care Medicine, Evangelismos Hospital, Medical School, National & Kapodistrian University of Athens, 10676 Athens, Greece.
Journal of clinical medicine
|August 10, 2024
概括
严重创伤性脑损伤 (sTBI) 患者面临高死亡率和治疗挑战. 肺栓塞 (PE) 由于出血风险而使护理复杂化,需要谨慎的管理策略.
科学领域:
- 神经创伤是一种神经创伤.
- 关键护理医学 关键护理医学
- 肺部医学 肺部医学
背景情况:
- 严重创伤性脑损伤 (sTBI) 每年影响30万ICU患者,死亡率为30%.
- 对最佳的sTBI管理的证据有限,这带来了重大的临床挑战.
- 血栓塞栓事件,特别是肺栓塞 (PE),是常见的,并且由于脑损伤患者的抗凝血风险,难以管理.
研究的目的:
- 审查关于严重创伤性脑损伤 (sTBI) 和并发性肺栓塞 (PE) 的最新文献.
- 确定在STBI患者中诊断和管理PE的当前挑战和进展.
- 总结关于PE流行率,风险因素,ICU环境中的诊断和治疗的发现.
主要方法:
- 使用PubMed和Scopus数据库进行文献评论.
- 搜索集中在过去五年内发表的论文上.
- 纳入标准:标题/摘要中的"肺栓塞"和"创伤性脑损伤";排除:儿科,非STBI,急性后护理.
主要成果:
- 从75篇的初步搜索中,确定了38篇相关论文.
- 关键话题包括PE患病率,风险因素,ICU诊断挑战,预防时间和治疗策略.
- 该审查强调了在sTBI患者中管理PE的复杂性.
结论:
- 肺栓塞是严重创伤性脑损伤患者的一个重大问题.
- 在sTBI中对PE进行最佳的诊断和管理策略需要进一步的研究和证据.
- 对治疗这些患者的重症医生来说,平衡抗凝风险和益处仍然是一个关键的挑战.
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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.
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