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[胸部创伤的损伤控制手术]

[Damage control surgery in thoracic trauma].

作者信息

Vyhnánek F

出版信息

Rozhl Chir. 2017 Fall;96(11):449-452.

Abstract

Damage control surgery (DCS) is an integral part of management in critically injured patients. These usually involve patients with profound hemorrhagic shock with the development of acidosis, hypothermia and coagulopathy. Three stages of DCS are widely accepted: 1) Limited operation to control bleeding and contamination. 2) Continued resuscitation in intensive care unit. 3) Reoperation. Besides DCS in intraabdominal trauma, DCS techniques are currently employed also in thoracic injuries. DCS techniques in heart, lung, internal thoracic vessel and esophagus injuries are presented.Key words: damage control surgery thoracic trauma.

摘要

损伤控制手术(DCS)是危重伤员救治的重要组成部分。这些患者通常是伴有酸中毒、体温过低和凝血功能障碍的严重失血性休克患者。损伤控制手术的三个阶段已被广泛认可:1)进行有限手术以控制出血和污染。2)在重症监护病房持续复苏。3)再次手术。除了腹部创伤的损伤控制手术外,目前损伤控制手术技术也应用于胸部损伤。本文介绍了心脏、肺、胸廓内血管和食管损伤的损伤控制手术技术。关键词:损伤控制手术;胸部创伤

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