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外科重症监护病房——创伤外科学视角。

Surgical intensive care unit--the trauma surgery perspective.

机构信息

Center for Musculoskeletal Surgery, Charité - University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.

出版信息

Langenbecks Arch Surg. 2011 Apr;396(4):429-46. doi: 10.1007/s00423-011-0765-z. Epub 2011 Mar 3.

DOI:10.1007/s00423-011-0765-z
PMID:21369845
Abstract

PURPOSE

This review addresses and summarizes the key issues and unique specific intensive care treatment of adult patients from the trauma surgery perspective.

MATERIALS AND METHODS

The cornerstones of successful surgical intensive care management are fluid resuscitation, transfusion protocol and extracorporeal organ replacement therapies. The injury-type specific complications and unique pathophysiologic regulatory mechanisms of the traumatized patients influencing the critical care treatment are discussed.

CONCLUSIONS

Furthermore, the fundamental knowledge of the injury severity, understanding of the trauma mechanism, surgical treatment strategies and specific techniques of surgical intensive care are pointed out as essentials for a successful intensive care therapy.

摘要

目的

从创伤外科角度出发，本文针对成人患者的关键问题和独特的重症监护治疗进行了探讨和总结。

材料和方法

成功的外科重症监护管理的基石是液体复苏、输血方案和体外器官替代治疗。本文讨论了创伤患者损伤类型特异性并发症和独特的病理生理调节机制对重症监护治疗的影响。

结论

此外，创伤严重程度的基本知识、对创伤机制的理解、外科治疗策略以及外科重症监护的具体技术，都被指出是重症监护治疗成功的关键。

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本文引用的文献

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The acute respiratory distress syndrome: pathogenesis and treatment.急性呼吸窘迫综合征：发病机制与治疗。
Annu Rev Pathol. 2011;6:147-63. doi: 10.1146/annurev-pathol-011110-130158.
2
Pathophysiology and treatment of coagulopathy in massive hemorrhage and hemodilution.大出血和血液稀释中凝血功能障碍的病理生理学和治疗。
Anesthesiology. 2010 Nov;113(5):1205-19. doi: 10.1097/ALN.0b013e3181f22b5a.
3
Gender differences in glucose variability after severe trauma.
Am Surg. 2010 Aug;76(8):896-902.
2010 年柏林创伤相关死亡的总体分布：德国创伤管理的进步还是停滞？
World J Surg. 2012 Sep;36(9):2125-30. doi: 10.1007/s00268-012-1650-9.
4
Acute coagulopathy of trauma: balancing progressive catecholamine induced endothelial activation and damage by fluid phase anticoagulation.创伤性急性凝血病：通过液体相抗凝平衡渐进性儿茶酚胺诱导的内皮激活和损伤。
Med Hypotheses. 2010 Dec;75(6):564-7. doi: 10.1016/j.mehy.2010.07.031. Epub 2010 Aug 13.
5
A classification and regression tree to assist clinical decision making in airway management for patients with cervical spinal cord injury.用于协助颈椎脊髓损伤患者气道管理中临床决策的分类回归树。
Spinal Cord. 2011 Feb;49(2):244-50. doi: 10.1038/sc.2010.97. Epub 2010 Aug 10.
6
Vena cava filters: current concepts and controversies for the surgeon.腔静脉滤器：外科医生的当前概念与争议
Curr Probl Surg. 2010 Jul;47(7):524-618. doi: 10.1067/j.cpsurg.2010.03.004.
7
The LiMAx test: a new liver function test for predicting postoperative outcome in liver surgery.LiMAx 试验：一种新的肝功能试验，可预测肝外科术后结局。
HPB (Oxford). 2010 Mar;12(2):139-46. doi: 10.1111/j.1477-2574.2009.00151.x.
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The acute respiratory management of cervical spinal cord injury in the first 6 weeks after injury: a systematic review.颈椎脊髓损伤伤后 6 周内的急性呼吸管理：系统评价。
Spinal Cord. 2011 Jan;49(1):17-29. doi: 10.1038/sc.2010.39. Epub 2010 Apr 20.
9
Management of bleeding following major trauma: an updated European guideline.严重创伤后出血的处理：欧洲最新指南。
Crit Care. 2010;14(2):R52. doi: 10.1186/cc8943. Epub 2010 Apr 6.
10
Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures.主动脉内球囊阻断术用于抢救因骨盆骨折而面临危及生命的出血性休克的患者。
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