重新思考使用Ps来诊断分区综合征的范式.
Yasser Bouklouch1,2, July Agel3, William T Obremskey4
1McGill University Health Center, Division of Orthopaedic Surgery, Montreal, Canada.
JB & JS open access
|April 8, 2025
概括
急性隔间综合征 (ACS) 的经典7种临床症状具有有限的预测能力. 结合多达四个迹象可以改善预测,但客观措施可能更好地诊断ACS.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 诊断的准确性 诊断的准确性
背景情况:
- 急性隔间综合征 (ACS) 是一种手术紧急情况,通常使用7种临床征兆 (7P) 进行诊断.
- 这些传统标志对ACS的诊断实用性仍然是调查的主题.
研究的目的:
- 评估腿部损伤中ACS的7个临床症状的预测能力.
- 确定结合这些标志的有效性,以提高诊断准确度.
主要方法:
- 在多个创伤中心对357名骨受伤患者进行带切除术的回顾性分析.
- 机器学习算法被用来测试7P的所有组合的预测能力.
主要成果:
- 对触摸的压力是最强的预测因素;疼痛是最弱的.
- 增加评估标志的数量可以提高到四个标志的预测,但没有任何组合可以达到完美的准确性.
- 波基热症,色和的信息价值有限.
结论:
- 传统的7P用于ACS诊断,单独或组合的预测能力不足.
- 依靠7P可能不足以准确诊断ACS;建议采取客观措施.
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Direct Method
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
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