骨盆骨折出血控制:你需要知道的
Todd W Costantini1, Clay Cothren Burlew, Whitney R Jenson
1From the Division of Critical Care and Acute Care Surgery, Department of Surgery (T.W.C.), University of Minnesota Medical School, Minneapolis; Division of Acute Care Surgery (T.W.C.), North Memorial Health, Robbinsdale, Minnesota; Division of Gastrointestinal, Trauma, and Endocrine Surgery, Department of Surgery (C.C.B., W.R.J.), University of Colorado, Aurora, Colorado; Department of Trauma Surgery (R.P.), University Hospital Zurich; Harald-Tscherne Laboratory for Orthopaedic and Trauma Research (F.K.-L.K.), University Hospital Zurich, University of Zurich, Zurich, Switzerland; Division of Vascular and Endovascular Trauma (R.K.), R Adams Cowley Shock Trauma Center, University of Maryland Medical Center; Department of Surgery (T.M.S.), R Adams Cowley Shock Trauma Center, University of Maryland Medical System, Baltimore, Maryland; and Riverside University Health System (R.C.), Loma Linda University School of Medicine, Riverside, California.
从骨盆骨折出血是危及生命的. 及时管理包括复苏,骨盆结合剂和通过血管栓塞或手术等方法控制出血,根据患者的状态和资源量身定制.
科学领域:
- 创伤外科手术是什么
- 紧急医疗 紧急医疗
- 流血性冲击管理 流血性冲击管理
背景情况:
- 骨盆骨折经常导致严重出血,导致高死亡率.
- 在发生骨盆骨折出血的情况下,迅速干预对于改善患者的结果至关重要.
研究的目的:
- 概述必要的知识,以最好地照顾严重骨盆骨折出血的患者.
- 讨论骨盆骨折的初步评估和出血控制策略.
主要方法:
- 目前文献和临床实践的审查,用于管理骨盆骨折出血.
- 讨论各种出血控制选项,包括外部固定器,血管栓塞,骨盆包装和外科绑定/栓塞.
主要成果:
- 最初的治疗重点是静血复苏,盆腔粘合剂的应用,并排除其他出血来源.
- 出血控制干预措施必须根据患者生理学和可用的资源进行个性化.
结论:
- 有效管理骨盆骨折出血需要一个量身定制的方法,结合复苏和特定的血液控制技术.
- 最佳的护理需要根据患者的病情和资源的可用性及时评估和选择适当的干预措施.
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