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钝性创伤复苏中的急诊蚌式开胸手术：打破范式——2例病例及文献回顾

Emergency clamshell thoracotomy in blunt trauma resuscitation: Shelling the paradigm-2 cases and review of the literature.

作者信息

Schober Patrick, de Leeuw Marcel A, Terra Maartje, Loer Stephan A, Schwarte Lothar A

机构信息

Department of Anesthesiology VU University Medical Center Amsterdam The Netherlands.

Trauma Center with HEMS Lifeliner 1 VU University Medical Center Amsterdam The Netherlands.

出版信息

Clin Case Rep. 2018 Jun 19;6(8):1521-1524. doi: 10.1002/ccr3.1653. eCollection 2018 Aug.

DOI:10.1002/ccr3.1653
PMID:30147896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6098997/
Abstract

Clamshell thoracotomy (CST) may be indicated and life-saving in carefully selected cases of blunt trauma. As such, the current clinical stance of general contraindication of CST in blunt trauma should be reviewed and criteria developed to accommodate select cases, considering the diversity of injuries resulting from blunt trauma.

摘要

在精心挑选的钝性创伤病例中，蛤壳式开胸术（CST）可能是必要的且能挽救生命。因此，鉴于钝性创伤所致损伤的多样性，应重新审视目前对于钝性创伤普遍禁忌CST的临床立场，并制定标准以适应特定病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa22/6098997/891b5cb36a84/CCR3-6-1521-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa22/6098997/891b5cb36a84/CCR3-6-1521-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa22/6098997/891b5cb36a84/CCR3-6-1521-g001.jpg

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[Clamshell thoracotomy after thoracic knife wounds].[胸部刀伤后的蚌式开胸术]
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2
European Resuscitation Council Guidelines for Resuscitation 2015: Section 1. Executive summary.《2015年欧洲复苏委员会复苏指南：第1节执行摘要》
Resuscitation. 2015 Oct;95:1-80. doi: 10.1016/j.resuscitation.2015.07.038. Epub 2015 Oct 15.
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The 'clamshell' approach to emergency department thoracotomy.急诊科开胸手术的“蚌壳式”方法。
一项由直升机紧急医疗服务在城乡混合地区进行的复苏性开胸术的 6 年病例系列研究，比较了钝性和穿透性创伤。
Scand J Trauma Resusc Emerg Med. 2022 Jan 26;30(1):8. doi: 10.1186/s13049-022-00997-4.
4
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Biomed Res Int. 2019 Jun 20;2019:5936345. doi: 10.1155/2019/5936345. eCollection 2019.
Singapore Med J. 2015 Aug;56(8):481. doi: 10.11622/smedj.2015124.
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Emergency resuscitative thoracotomy performed in European civilian trauma patients with blunt or penetrating injuries: a systematic review.欧洲钝性或穿透性损伤的平民创伤患者实施急诊复苏性开胸手术：一项系统评价
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