Department of Surgery, Rambam Health Care Center, Haifa, Israel.
World J Emerg Surg. 2013 May 1;8(1):17. doi: 10.1186/1749-7922-8-17.
Timing of surgical intervention is critical for outcomes of patients diagnosed with surgical emergencies. Facing the challenge of multiple patients requiring emergency surgery, or of limited resource availability, the acute care surgeon must triage patients according to their disease process and physiological state. Emergency operations from all surgical disciplines should be scheduled by an agreed time frame that is based on accumulated data of outcomes related to time elapsed from diagnosis to surgery. Although literature exists regarding the optimal timing of various surgical interventions, implementation of protocols for triage of surgical emergencies is lacking. For institutions of a repetitive triage mechanism, further discussion on optimal timing of surgery in diverse surgical emergencies should be encouraged. Standardizing timing of interventions in surgical emergencies will promote clinical investigation as well as a commitment by administrative authorities to proper operating theater provision for acute care surgery.
手术时机对于诊断为外科急症的患者的治疗结果至关重要。面对多名患者需要紧急手术或资源有限的挑战，急性护理外科医生必须根据患者的疾病进程和生理状况对患者进行分诊。所有外科专业的急诊手术都应按照商定的时间框架进行安排，该时间框架基于与从诊断到手术的时间相关的结果的累积数据。尽管有关于各种外科干预的最佳时机的文献，但缺乏对外科急症分诊协议的实施。对于具有重复分诊机制的机构，应进一步讨论不同外科急症中手术的最佳时机。规范外科急症干预的时机将促进临床研究以及行政当局承诺为急性护理外科提供适当的手术室。
