多发伤的管理——2020年有哪些新进展以及哪些是正确的做法？
Polytrauma management - What is new and what is true in 2020 ?
作者信息
Pape H C, Leenen L
机构信息
Department of Trauma, University Hospital Zurich, University of Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Department of Trauma, University Medical Centre Utrecht, Suite G04.228, Heidelberglaan 100, 3585, GA, Utrecht, the Netherlands.
出版信息
J Clin Orthop Trauma. 2021 Jan;12(1):88-95. doi: 10.1016/j.jcot.2020.10.006. Epub 2020 Oct 29.
Abstract
This is a review of changes in the practice of treating polytrauma managemtent within the years prior to 2020. It focuses on five different topics, 1. The development of an evidence based definition of Polytrauma, 2. Resuscitation Associated Coagulopathy (RAC), 3. neutrophil guided initial resuscitation, 4. perioperative Scoring to evaluate patients at risk, and 5. evolution of fracture fixation strategies according to protocols (Early total care, ETC, damage control orthopedics, DCO, early appropriate care, EAC, safe definitive surgery, SDS).
摘要
这是一篇关于2020年之前几年内多发伤治疗实践变化的综述。它聚焦于五个不同主题：1. 基于证据的多发伤定义的发展；2. 复苏相关凝血病（RAC）；3. 中性粒细胞引导的初始复苏；4. 围手术期评分以评估高危患者；5. 根据方案（早期全面治疗，ETC；损伤控制骨科，DCO；早期适当治疗，EAC；安全确定性手术，SDS）的骨折固定策略的演变。
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