Kalkwarf Kyle J, Cotton Bryan A
Department of Surgery, University of Texas, McGovern Medical School at UTHealth, 6431 Fannin Street, MSB 4.286, Houston, TX 77030, USA.
Department of Surgery, University of Texas, McGovern Medical School at UTHealth, 6431 Fannin Street, MSB 4.286, Houston, TX 77030, USA.
Surg Clin North Am. 2017 Dec;97(6):1307-1321. doi: 10.1016/j.suc.2017.07.011.
Hemorrhage is the leading cause of preventable deaths in trauma patients. After presenting a brief history of hemorrhagic shock resuscitation, this article discusses damage control resuscitation and its adjuncts. Massively bleeding patients in hypovolemic shock should be treated with damage control resuscitation principles including limited crystalloid, whole blood or balance blood component transfusion to permissive hypotension, preventing hypothermia, and stopping bleeding as quickly as possible.
出血是创伤患者可预防死亡的主要原因。在简要介绍失血性休克复苏的历史后，本文讨论了损伤控制复苏及其辅助措施。处于低血容量休克的大出血患者应按照损伤控制复苏原则进行治疗，包括限制晶体液输入、输注全血或平衡血液成分至允许性低血压水平、预防体温过低以及尽快止血。
