Department of Surgery, The University of Texas McGovern Medical School, Houston, USA; Section of Surgical Critical Care, USA; Shock Trauma Intensive Care Unit, USA; The Red Duke Trauma Institute, Memorial Hermann Hospital, Houston, TX, USA.
Am J Surg. 2022 Jul;224(1 Pt A):40-44. doi: 10.1016/j.amjsurg.2021.10.033. Epub 2021 Oct 22.
Traumatic injury remains the leading cause of death in patients 45 and younger. State of the art trauma care requires rapid interventions to provide hemodynamic support en route to definitive hemostasis. This article will review three critical elements in management of the bleeding trauma patient: blood products, resuscitative endovascular balloon occlusion of the aorta (REBOA), and the trauma hybrid operating room (THOR).
创伤仍然是 45 岁及以下患者死亡的主要原因。最先进的创伤治疗需要快速干预,以在到达确定性止血前提供血液动力学支持。本文将回顾出血性创伤患者管理的三个关键要素:血液制品、复苏性主动脉球囊阻断(REBOA)和创伤杂交手术室(THOR)。