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创伤中新兴的出血控制和复苏策略:血管内到体外。

Emerging hemorrhage control and resuscitation strategies in trauma: Endovascular to extracorporeal.

机构信息

From the Department of Emergency Medicine (J.E.M.), School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Surgery (T.E.R., J.W.C.), F. Edward Hébert School of Medicine at the Uniformed Services University; R. A. Cowley Shock Trauma Center (S.A.T.), University of Maryland School of Medicine, Baltimore, Maryland; Division of Traumatology, Surgical Critical Care & Emergency Surgery, Department of Surgery (J.W.C.), Perelman School of Medicine at the University of Pennsylvania; and Leonard Davis Institute of Health Economics (J.W.C.), University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

J Trauma Acute Care Surg. 2020 Aug;89(2S Suppl 2):S50-S58. doi: 10.1097/TA.0000000000002747.

Abstract

This article reviews four emerging endovascular hemorrhage control and extracorporeal perfusion techniques for management of trauma patients with profound hemorrhagic shock including hemorrhage-induced traumatic cardiac arrest: resuscitative endovascular balloon occlusion of the aorta, selective aortic arch perfusion, extracorporeal life support, and emergency preservation and resuscitation. The preclinical and clinical studies underpinning each of these techniques are summarized. We also present an integrated conceptual framework for how these emerging technologies may be used in the future care of trauma patients in both resource-rich and austere environments.

摘要

这篇文章回顾了四种新兴的血管内出血控制和体外灌注技术,用于治疗创伤性大出血休克患者,包括出血性创伤性心脏骤停:复苏性主动脉球囊阻断、选择性主动脉弓灌注、体外生命支持和紧急保存与复苏。总结了这些技术的临床前和临床研究。我们还提出了一个综合概念框架,说明这些新兴技术如何在资源丰富和资源匮乏的环境中用于未来创伤患者的治疗。

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