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[严重机械性创伤后的侵袭后代谢]

[Postaggressive metabolism in severe mechanical trauma].

作者信息

Nemchenko N S, Eriukhin I A, Shanin V Iu

出版信息

Vestn Khir Im I I Grek. 1991 Apr;146(4):53-7.

PMID:1661953
Abstract

Posttraumatic adaptive reactions are divided by the authors into three periods: the period of "urgent" adaptation (1-2 days), intermediate period (3-7 days) and the period of "long-term" adaptation (after 7 days). The period of "urgent" adaptation may be considered to be more favorable for surgical interventions under conditions of adequate anesthesiological maintenance. A critical associated trauma unlike an isolated one was found to cause more pronounced and continuous strain of the endocrine and metabolic reactions related with the "urgent" adaptation which influences the frequency of complications and lethal outcomes.

摘要

作者将创伤后适应性反应分为三个阶段

“紧急”适应期(1 - 2天)、中间期(3 - 7天)和“长期”适应期(7天之后)。在有充分麻醉维持的情况下,“紧急”适应期可能被认为更有利于进行外科手术干预。与单纯创伤不同,严重复合创伤会导致与“紧急”适应相关的内分泌和代谢反应更明显且持续的应激,这会影响并发症的发生率和致死率。

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