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在创伤中医院前的全血 - 一个范围审查
Catherine M Kuza1, Andrea H Denton2, Stephanie Streit3
1Department of Anesthesiology, Harbor UCLA Medical Center, Torrance, CA; American Red Cross Scientific Advisory Council, Washington, DC.
Air medical journal
|October 29, 2025
概括
在创伤患者患有出血性休克时,医院前全血 (WB) 复苏显示出可行性和安全性. 然而,由于研究质量有限,无法提出明确的建议,因此需要进一步研究.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 复苏科学复苏科学 复苏科学
背景情况:
- 创伤患者出血性休克的管理正在发展.
- 医院前全血 (WB) 管理正在重新出现,以纠正凝血病并改善存活率.
- 本综述侧重于在成人创伤患者中医院前WB的应用.
研究的目的:
- 评估目前在经历出血休克的成年创伤患者的医院前全血 (WB) 的使用和结果.
- 综合最近关于医院前WB管理的文献的发现.
主要方法:
- 在PubMed,Embase和CINAHL进行了全面的文献搜索.
- 包括2015年1月至2024年3月期间发表的研究.
- 使用了一个范围审查方法.
主要成果:
- 分析了10项涉及9621名患者的研究.
- 审查的研究包括案例系列,随机对照试验和观察性研究.
- 八项研究重点关注平民人口,而两项研究涉及军事环境.
结论:
- 医院前WB计划对于创伤和其他患者群体来说似乎是可行的和安全的.
- 现有研究的质量和设计不够优,限制了最终的结论.
- 需要进一步进行高质量的研究,以制定用于医院前WB使用的强有力的建议.
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