[如果在急诊医疗服务（EMS）和急诊室（ER）中出现刺伤导致的不可压缩性出血该怎么办？用 Foley 导管进行临时控制]

[What to do if incompressible bleeding from a stab wound occurs in EMS and ER? Temporary control with a Foley catheter].

作者信息

Doll D, Lenz S, Lieber A, Handke T, Stettbacher A, Glapa M, Düsel W, Degiannis E

机构信息

Bundeswehrkrankenhaus, Scharnhorststrasse 13, 10115 Berlin, Germany.

出版信息

Unfallchirurg. 2006 Oct;109(10):898-900. doi: 10.1007/s00113-006-1096-3.

DOI:10.1007/s00113-006-1096-3

PMID:16897025

Abstract

Exsanguination plays a key role in avoidable prehospital deaths. As some bleedings from deep stab wounds cannot be stopped with direct compression, the insertion of a Foley catheter can prevent ongoing bleedings. A case report of bleeding from a stab wound in the supraclavicular region is given. The simple measure of careful insertion and blocking of a Foley catheter proved to be a key resuscitative procedure which can be done under any suitable circumstances.

摘要

失血性休克在可避免的院前死亡中起关键作用。由于一些深部刺伤引起的出血无法通过直接压迫止血，插入 Foley 导管可防止持续出血。本文给出了一例锁骨上区域刺伤出血的病例报告。事实证明，小心插入并堵塞 Foley 导管这一简单措施是一项关键的复苏程序，可在任何合适的情况下进行。