损害控制干预放射学:非手术管理和损害控制手术之间的桥梁
Velio Ascenti1, Anna Maria Ierardi2, Maryam Alfa-Wali3
1Postgraduate School of Radiology, University of Milan, Milan, IT, Italy.
CVIR endovascular
|October 2, 2024
概括
损害控制干预放射学 (DCIR) 越来越多地用于创伤患者. 随着早期的外科手术和IR协作,结果得到改善,挑战其目前的非手术管理的分类.
科学领域:
- 创伤护理 创伤护理
- 干预性放射学 干预性放射学
- 手术重症监护手术重症监护
背景情况:
- 在全球范围内,创伤伤害正在增加,需要先进的管理策略.
- 损害控制手术 (DCS) 已经建立,但损害控制干预放射学 (DCIR) 正在出现关键创伤.
- 最少侵入性技术正在扩大IR在紧急出血中的作用.
研究的目的:
- 对创伤管理中DCS和IR的文献进行审查.
- 要突出转向创伤护理中最少侵入性技术的范式转变.
- 强调多学科合作和建立治疗途径的重要性.
主要方法:
- 文献综述侧重于DCS和IR在创伤中的利用.
- 分析与干预性放射学程序相关的结果.
- 讨论血栓塞和气球封闭 (例如,REBOA) 等最小侵入性技术.
主要成果:
- DCIR为创伤和非创伤性出血提供了可行的治疗选择.
- 当手术和IR团队从最初的患者评估开始合作时,结果会得到优化.
- 目前将DCIR归类为非操作管理 (NOM) 是一个有争议的问题.
结论:
- 综合的外科和IR护理改善了创伤患者的治疗结果.
- DCIR代表了现代创伤管理的关键组成部分,与NOM不同.
- 确定的途径和仔细的患者选择对于成功实施DCIR至关重要.
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