• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

战斗伤员肝脏的流体动力性破裂：在东乌克兰混合战争地区成功应用“损伤控制”策略的一例

Hydrodynamic rupture of liver in combat patient: a case of successful application of "damage control" tactic in area of the hybrid war in East Ukraine.

作者信息

Khomenko Igor, Shapovalov Vitalii, Tsema Ievgen, Makarov Georgii, Palytsia Roman, Zavodovskyi Ievgen, Ishchenko Ivan, Dinets Andrii, Mishalov Vladimir

机构信息

Department of Abdominal Surgery, National Military Medical Clinical Center of Ministry of Defense of Ukraine, Kyiv, Ukraine.

Military Medical Clinical Center of South Region of Ministry of Defense of Ukraine, Odesa, Ukraine.

出版信息

Surg Case Rep. 2017 Aug 15;3(1):88. doi: 10.1186/s40792-017-0363-6.

DOI:10.1186/s40792-017-0363-6
PMID:28812283
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5557719/
Abstract

BACKGROUND

The hybrid war of Russia against Ukraine has been started in certain districts of Donetsk and Luhansk oblasts within the Donbas area in 2014.

CASE PRESENTATION

We report a clinical case of a combat patient who was injured after the multiple launcher rocket system "Grad" shelling, diagnosed with hydrodynamic liver rupture followed by medical management with application of damage control (DC) tactic in conditions of hybrid war. The patient underwent relaparatomy, liver resection, endoscopic papillosphincterotomy, endoscopic retrograde cholecystopancreatography, stenting of the common bile duct, and VAC-therapy. Applied treatment modalities were effective; the patient was discharged on the 49th day after injury.

CONCLUSIONS

To our best knowledge, this is the first report describing a successful application of DC tactic in the hybrid war in East Ukraine. From this case, we suggest that application of DC tactic at all levels of combat medical care could save more lives.

摘要

背景

2014年，俄罗斯与乌克兰的混合战争在顿巴斯地区的顿涅茨克和卢甘斯克州的某些地区爆发。

病例介绍

我们报告了一例战斗伤员的临床病例，该伤员在多管火箭炮系统“冰雹”炮击后受伤，被诊断为肝破裂伴液体动力学改变，随后在混合战争条件下采用损伤控制（DC）策略进行治疗。患者接受了再次剖腹手术、肝切除术、内镜下乳头括约肌切开术、内镜逆行胰胆管造影术、胆总管支架置入术和负压封闭引流治疗。所应用的治疗方法有效；患者在受伤后第49天出院。

结论

据我们所知，这是第一份描述在东乌克兰混合战争中成功应用损伤控制策略的报告。从这个病例中，我们建议在各级战斗医疗救治中应用损伤控制策略可以挽救更多生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/1462cd24ddd5/40792_2017_363_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/d6525e6224ec/40792_2017_363_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/ddb2aaefabf3/40792_2017_363_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/5ab43c2a8f21/40792_2017_363_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/25d985164fdf/40792_2017_363_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/d03239a26fc9/40792_2017_363_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/1462cd24ddd5/40792_2017_363_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/d6525e6224ec/40792_2017_363_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/ddb2aaefabf3/40792_2017_363_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/5ab43c2a8f21/40792_2017_363_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/25d985164fdf/40792_2017_363_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/d03239a26fc9/40792_2017_363_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a43d/5557719/1462cd24ddd5/40792_2017_363_Fig6_HTML.jpg

相似文献

1
Hydrodynamic rupture of liver in combat patient: a case of successful application of "damage control" tactic in area of the hybrid war in East Ukraine.战斗伤员肝脏的流体动力性破裂：在东乌克兰混合战争地区成功应用“损伤控制”策略的一例
Surg Case Rep. 2017 Aug 15;3(1):88. doi: 10.1186/s40792-017-0363-6.
2
Pulmonary artery embolism by a metal fragment after a booby trap explosion in a combat patient injured in the armed conflict in East Ukraine: a case report and review of the literature.东乌克兰武装冲突中一名战斗伤员遭诡雷爆炸后金属碎片致肺动脉栓塞：一例报告及文献复习
J Med Case Rep. 2018 Nov 5;12(1):330. doi: 10.1186/s13256-018-1834-5.
3
Retrieval of ferromagnetic fragments from the lung using video-assisted thoracoscopic surgery and magnetic tool: a case report of combat patient injured in the war in Ukraine.使用电视辅助胸腔镜手术和磁性工具从肺部取出铁磁性碎片：一名在乌克兰战争中受伤的战斗伤员的病例报告。
Int J Emerg Med. 2023 Aug 24;16(1):51. doi: 10.1186/s12245-023-00527-8.
4
Bacterial flora of combat wounds from eastern Ukraine and time-specified changes of bacterial recovery during treatment in Ukrainian military hospital.乌克兰东部战斗伤口的细菌菌群以及乌克兰军事医院治疗期间细菌恢复的时间特异性变化。
BMC Res Notes. 2017 Apr 7;10(1):152. doi: 10.1186/s13104-017-2481-4.
5
Worsening cholestasis and possible cefuroxime-induced liver injury following "successful" therapeutic endoscopic retrograde cholangiopancreatography for a distal common bile duct stone: a case report.“成功”治疗远端胆总管结石后出现胆汁淤积加重及可能的头孢呋辛诱导的肝损伤：一例报告
J Med Case Rep. 2016 Dec 21;10(1):371. doi: 10.1186/s13256-016-1123-0.
6
Spontaneous rupture of intrahepatic bile duct following portal vein embolization in a patient with perihilar cholangiocarcinoma: a case of successful curative resection.肝门部胆管癌患者门静脉栓塞后肝内胆管自发性破裂：1例成功根治性切除病例
Korean J Hepatobiliary Pancreat Surg. 2013 Feb;17(1):42-7. doi: 10.14701/kjhbps.2013.17.1.42. Epub 2013 Feb 28.
7
From the combat medic to the forward surgical team: the Madigan model for improving trauma readiness of brigade combat teams fighting the Global War on Terror.从战斗医护兵到前沿外科手术队：马迪根模式助力提升参与反恐全球战争的旅级战斗队的创伤救治准备水平
J Surg Res. 2007 Mar;138(1):25-31. doi: 10.1016/j.jss.2006.09.006. Epub 2006 Dec 29.
8
Undetected pectoralis major tendon rupture in a patient referred to a physical therapist in a combat environment: a case report.在战斗环境中，一名转诊至物理治疗师的患者中存在未被检测到的胸大肌腱断裂：病例报告。
Phys Ther. 2013 Sep;93(9):1225-33. doi: 10.2522/ptj.20120141. Epub 2012 Oct 19.
9
The outcome of endoscopic management of bile leakage after hepatobiliary surgery.肝胆手术后胆漏的内镜治疗结果
Korean J Intern Med. 2017 Jan;32(1):79-84. doi: 10.3904/kjim.2015.165. Epub 2016 Jul 8.
10
Non operative management of blunt bile duct injuries in children.儿童钝性胆管损伤的非手术治疗
Saudi Med J. 2002 Mar;23(3):341-4.

引用本文的文献

1
Addressing abdominal trauma from conflict and warfare in under-resourced regions: A critical narrative review.应对资源匮乏地区冲突和战争导致的腹部创伤：一项批判性叙述性综述
Health Sci Rep. 2024 Oct 23;7(10):e70151. doi: 10.1002/hsr2.70151. eCollection 2024 Oct.
2
Pulmonary artery embolism by a metal fragment after a booby trap explosion in a combat patient injured in the armed conflict in East Ukraine: a case report and review of the literature.东乌克兰武装冲突中一名战斗伤员遭诡雷爆炸后金属碎片致肺动脉栓塞：一例报告及文献复习
J Med Case Rep. 2018 Nov 5;12(1):330. doi: 10.1186/s13256-018-1834-5.

本文引用的文献

1
Acute Acoustic Trauma among Soldiers during an Intense Combat.激烈战斗期间士兵的急性听觉创伤
J Am Acad Audiol. 2017 May;28(5):436-443. doi: 10.3766/jaaa.16043.
2
History of the Innovation of Damage Control for Management of Trauma Patients: 1902-2016.创伤患者管理中损伤控制的创新史：1902 - 2016年
Ann Surg. 2017 May;265(5):1034-1044. doi: 10.1097/SLA.0000000000001803.
3
[THE PRINCIPLES OF ORGANIZATION AND TREATMENT FOR SORTING OF WOUNDED PERSONS WITH A COMBAT SURGICAL TRAUMA OF EXTREMITIES ON THE IV LEVEL OF THE MEDICAL CARE PROVISION].
[在医疗保障四级水平上对四肢战伤伤员进行分类的组织与治疗原则]
Klin Khir. 2015 Dec(12):48-50.
4
Short-Term Outcomes and Complications of Damage Control and Definitive Laparotomy in Deployed Combat Environments: 2002 to 2011.2002年至2011年在作战部署环境中损伤控制与确定性剖腹手术的短期结局及并发症
Mil Med. 2016 Mar;181(3):277-82. doi: 10.7205/MILMED-D-14-00726.
5
The Effect of a Golden Hour Policy on the Morbidity and Mortality of Combat Casualties.黄金一小时政策对战斗伤员发病率和死亡率的影响。
JAMA Surg. 2016 Jan;151(1):15-24. doi: 10.1001/jamasurg.2015.3104.
6
Advances in damage control resuscitation and surgery: implications on the organization of future military field forces.损伤控制复苏与手术的进展：对未来军事野战部队编制的影响
Can J Surg. 2015 Jun;58(3 Suppl 3):S91-S97. doi: 10.1503/cjs.001815.
7
Penetrating Thoracic Injury.穿透性胸部损伤
Radiol Clin North Am. 2015 Jul;53(4):675-93, vii-viii. doi: 10.1016/j.rcl.2015.02.010.
8
Injury patterns of soldiers in the second Lebanon war.第二次黎巴嫩战争中士兵的受伤模式。
J Trauma Acute Care Surg. 2014 Jan;76(1):160-6. doi: 10.1097/TA.0b013e3182a9680e.
9
Surgical management and outcome of blunt major liver injuries: experience of damage control laparotomy with perihepatic packing in one trauma centre.钝性严重肝损伤的手术治疗及结果：某创伤中心采用肝周填塞损伤控制剖腹术的经验
Injury. 2014 Jan;45(1):122-7. doi: 10.1016/j.injury.2013.08.022. Epub 2013 Sep 4.
10
The nature and extent of war injuries sustained by combat specialty personnel killed and wounded in Afghanistan and Iraq, 2003-2011.2003-2011 年，阿富汗和伊拉克作战伤亡人员的战伤性质和程度。
J Trauma Acute Care Surg. 2013 Aug;75(2):287-91. doi: 10.1097/TA.0b013e31829a0970.