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院前复苏性开胸手术是否应纳入创伤性心脏骤停后的高级生命支持中?

Should prehospital resuscitative thoracotomy be incorporated in advanced life support after traumatic cardiac arrest?

作者信息

Chalkias A, Xanthos T

机构信息

MSc "Cardiopulmonary Resuscitation", Medical School, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Eur J Trauma Emerg Surg. 2014 Jun;40(3):395-7. doi: 10.1007/s00068-013-0356-5. Epub 2013 Nov 26.

Abstract

The survival of traumatic cardiac arrest patients poses a challenge for Emergency Medical Services initiating advanced life support on-scene, especially with regard to having to decide immediately whether to initiate prehospital emergency thoracotomy. Although the necessity for carrying out the procedure remains a cause for debate, it can be life-saving when performed with the correct indications and approaches.

摘要

创伤性心脏骤停患者的存活对在现场启动高级生命支持的紧急医疗服务构成了挑战,尤其是在必须立即决定是否启动院前紧急开胸手术方面。尽管进行该手术的必要性仍存在争议,但在有正确指征和方法的情况下进行该手术可能会挽救生命。

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