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与使用军事抗休克裤相关的下肢缺血

Lower extremity ischemia associated with use of military antishock trousers.

作者信息

Frampton M W

出版信息

Ann Emerg Med. 1984 Dec;13(12):1155-7. doi: 10.1016/s0196-0644(84)80344-3.

DOI:10.1016/s0196-0644(84)80344-3
PMID:6507975
Abstract

A 58-year-old man was admitted to a community hospital following an overdose of nifedipine. Military antishock trousers (MAST) were applied to combat severe hypotension. Blood pressure was restored to 110/50 mm Hg three hours after admission, but the patient remained comatose. Subsequent to MAST garment removal, ischemia of both legs and scrotum was observed; at surgery, both iliofemoral systems were occluded from the aortic bifurcation to the feet. The patient never regained consciousness and died from recurrent ventricular tachycardia. The possible contributing role of the MAST garment in producing lower extremity ischemia is discussed.

摘要

一名58岁男子因过量服用硝苯地平被送入一家社区医院。使用了抗休克裤(MAST)来对抗严重低血压。入院三小时后血压恢复到110/50 mmHg,但患者仍昏迷不醒。去除抗休克裤后,观察到双下肢和阴囊缺血;手术时,双侧髂股血管系统从主动脉分叉处至足部均闭塞。患者从未恢复意识,最终死于反复发作的室性心动过速。本文讨论了抗休克裤在导致下肢缺血中可能起到的作用。

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Lower extremity ischemia associated with use of military antishock trousers.与使用军事抗休克裤相关的下肢缺血
Ann Emerg Med. 1984 Dec;13(12):1155-7. doi: 10.1016/s0196-0644(84)80344-3.
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Thigh and leg compartment syndrome in the absence of lower extremity trauma following MAST application.
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Limb loss following Military Anti-Schock Trousers (MAST) application.使用军事抗休克裤(MAST)后肢体丧失
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The clinical use of antishock trousers.抗休克裤的临床应用。
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引用本文的文献

1
Military anti-shock garment: Historical relic or a device with unrealized potential?军事抗休克服:历史遗物还是具有未实现潜力的设备?
J Emerg Trauma Shock. 2008 Jul;1(2):63-9. doi: 10.4103/0974-2700.43181.