儿科创伤复苏：更新。
Paediatric trauma resuscitation: an update.
机构信息
Academic Department of Trauma and Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, Leeds, LS1 3EX, UK.
NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, West Yorkshire, Leeds, LS7 4SA, UK.
出版信息
Eur J Trauma Emerg Surg. 2016 Jun;42(3):297-301. doi: 10.1007/s00068-015-0614-9. Epub 2015 Dec 22.
PURPOSE
Paediatric trauma is the leading cause of mortality in children. Paediatric trauma resuscitation is the first and foremost step towards a successful treatment and subsequent recovery. Significant advances have taken place in the last years in relation to this field of trauma care.
METHODS
In this narrative review, we attempt to summarise the recent development in the concepts of fluid resuscitation, massive transfusion, permissive resuscitation, management of coagulopathy and use of tranexamic acid, literature pertaining to implementation of transfusion protocols in the paediatric population and education related to the paediatric trauma resuscitation.
RESULTS/CONCLUSIONS: The current evidence although emerging is still sparse and high-quality studies are needed to shed more light on most of the above domains of resuscitation.
目的
儿科创伤是导致儿童死亡的主要原因。儿科创伤复苏是成功治疗和后续康复的首要步骤。近年来，在创伤护理领域取得了重大进展。
方法
在这篇叙述性评论中，我们试图总结液体复苏、大量输血、允许性复苏、凝血功能障碍管理和使用氨甲环酸等概念的最新进展，以及与儿科人群输血方案的实施和儿科创伤复苏相关的教育相关的文献。
结果/结论：目前的证据虽然正在出现，但仍然很少，需要高质量的研究来更深入地了解复苏的上述大部分领域。
Zotero 插件