外部固定器作为伤害控制工具 严重受伤或多创伤患者的骨科
Ismini Kountouri1, Panagiotis Christidis2, Georgios Christidis2
1Department of General Surgery, General Hospital of Katerini, Katerini, GRC.
Cureus
|October 14, 2024
概括
使用外部固定装置进行的损伤控制手术对于多创伤患者具有严重的骨科伤害 (伤害严重性评分> 9) 是安全有效的. 这种方法有助于骨折稳定和控制出血,促进患者的康复.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
背景情况:
- 多创伤患者需要专门的紧急手术管理.
- 损害控制手术是严重受伤患者的一种策略.
- 损害控制在骨科多创伤中的作用需要进一步探索.
研究的目的:
- 探索多创伤患者有骨科损伤的损害控制技术的使用和有效性.
- 评估伤害控制手术对患者康复的安全性和影响.
- 确定选择伤害控制与最终手术管理的标准.
主要方法:
- 从2021-2024年对医疗记录的回顾性审查.
- 对29名需要手术干预的多创伤患者的分析.
- 使用伤害严重程度评分 (ISS) 来指导治疗决策.
主要成果:
- 13名患者 (ISS > 9) 用损伤控制技术进行管理,主要是外部骨质合成 (ExFix).
- 外部固定有效地稳定了骨折,并控制了多重骨科损伤的患者的出血.
- 损伤控制手术促进了复苏和恢复,在3个案例中,作为最终治疗.
结论:
- 损伤控制手术,特别是长骨折的外部固定,对于ISS>9的多创伤患者来说是安全和有益的.
- 这种方法在严重的骨科创伤中有效地稳定骨折和控制出血.
- 损害控制手术可以成为多创伤管理的宝贵组成部分,改善患者的治疗结果.
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