Schuster Kevin M, Davis Kimberly A, Rosenbaum Stanley H
Department of Surgery, Section of Trauma, Surgical Critical Care, and Surgical Emergencies, Yale University, School of Medicine, 330 Cedar Street, BB 310, New Haven, CT 06520, USA.
Anesthesiol Clin. 2009 Dec;27(4):787-804. doi: 10.1016/j.anclin.2009.09.012.
Patients presenting with general surgical emergencies are hypovolemic, and require early aggressive resuscitative efforts. Although these efforts may safely be accomplished preoperatively in a select subset of patients, it is often the combined task of surgeons, anesthesiologists, and internists to optimize these critically ill patients in the intraoperative and postoperative period. Early surgical consultation and intervention can be lifesaving. This article presents the current state of emergency surgical care in the United States and the approach to the patient with an emergency surgical illness. The aggressiveness of the surgical intervention is patient- and disease-specific and requires frequent and open communication between all health care providers, the patient, and his or her family. In addition to aggressive resuscitation, life-threatening general surgical conditions often require specific diagnostic and therapeutic interventions.
出现普通外科急症的患者会出现血容量不足，需要尽早积极进行复苏努力。虽然在部分特定患者中可在术前安全地完成这些努力，但在术中和术后对这些重症患者进行优化往往是外科医生、麻醉医生和内科医生的共同任务。早期外科会诊和干预可挽救生命。本文介绍了美国急诊外科护理的现状以及针对患有急诊外科疾病患者的治疗方法。手术干预的积极性因患者和疾病而异，需要所有医疗服务提供者、患者及其家属之间频繁且开放的沟通。除了积极复苏外，危及生命的普通外科病症通常还需要特定的诊断和治疗干预措施。
