Cheema Fareed, Garcia Carrie, Rivera Aksim G, Chao Edward
Fareed Cheema is a resident physician in the Department of Surgery, Jacobi Medical Center, Bronx, NY, where Carrie Garcia is the trauma program manager and Aksim G. Rivera and Edward Chao are attending physicians. Contact author: Edward Chao,
Am J Nurs. 2018 Oct;118(10):22-28. doi: 10.1097/01.NAJ.0000546376.73926.5b.
: Hemorrhage is the leading cause of preventable death in trauma patients. In recent years, technological innovations and research efforts aimed at preventing death from hemorrhagic shock have resulted in the emergence of resuscitative endovascular balloon occlusion of the aorta (REBOA). REBOA offers a less invasive option for emergent hemorrhage control in noncompressible areas of the body without the added risks and morbidities of an ED thoracotomy. This article outlines the procedure and device used, describes the procedure's evolution, and discusses various considerations, pitfalls, and nursing implications.
出血是创伤患者可预防死亡的主要原因。近年来，旨在预防失血性休克死亡的技术创新和研究努力导致了主动脉复苏性血管内球囊阻断术（REBOA）的出现。REBOA为身体不可压缩部位的紧急出血控制提供了一种侵入性较小的选择，而没有急诊开胸手术的额外风险和并发症。本文概述了所使用的程序和设备，描述了该程序的演变，并讨论了各种注意事项、陷阱和护理问题。
