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使用军事抗休克裤(MAST)后肢体丧失

Limb loss following Military Anti-Schock Trousers (MAST) application.

作者信息

Maull K I, Capehart J E, Cardea J A, Haynes B W

出版信息

J Trauma. 1981 Jan;21(1):60-2. doi: 10.1097/00005373-198101000-00013.

DOI:10.1097/00005373-198101000-00013
PMID:7463542
Abstract

External counterpressure is a safe and effective method to treat shock and restore central circulation. Experience with the short-term use of MAST has been favorable. If external counterpressure is maintained for extended periods, however, altered peripheral hemodynamics may result in permanent damage. The development of compartment syndrome requiring amputation is reported in two patients with associated leg fractures. This unfortunate experience suggests that the sustained use of MAST in patients with shock and comminuted lower extremity fractures may jeopardize limb survival.

摘要

体外反搏是一种治疗休克和恢复中心循环的安全有效的方法。短期使用抗休克裤(MAST)的经验是令人满意的。然而,如果长时间维持体外反搏,外周血流动力学改变可能导致永久性损伤。据报道,两名伴有腿部骨折的患者发生了需要截肢的骨筋膜室综合征。这一不幸的经历表明,在休克和下肢粉碎性骨折患者中持续使用抗休克裤可能会危及肢体存活。

相似文献

1
Limb loss following Military Anti-Schock Trousers (MAST) application.使用军事抗休克裤(MAST)后肢体丧失
J Trauma. 1981 Jan;21(1):60-2. doi: 10.1097/00005373-198101000-00013.
2
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.
3
MAS trousers improperly applied causing a compartment syndrome in lower-extremity trauma.
J Trauma. 1982 Jul;22(7):598-9. doi: 10.1097/00005373-198207000-00014.
4
Thigh and leg compartment syndrome in the absence of lower extremity trauma following MAST application.
Am J Emerg Med. 1987 Mar;5(2):118-20. doi: 10.1016/0735-6757(87)90087-8.
5
MAST suit update.军事抗休克裤更新
JAMA. 1984 Nov 9;252(18):2598-603.
6
Clinical experience with the medical anti-shock trousers (MAST) treatment of hemorrhage, especially from compound pelvic fracture.医用抗休克裤(MAST)治疗出血尤其是复合性骨盆骨折出血的临床经验。
Neth J Surg. 1980;32(3):102-7.
7
Compartment syndrome after anti-shock trouser use without lower-extremity trauma.
J Trauma. 1982 Jul;22(7):595-7. doi: 10.1097/00005373-198207000-00013.
8
MAST-associated compartment syndrome (MACS): a review.
J Trauma. 1989 May;29(5):549-55. doi: 10.1097/00005373-198905000-00002.
9
Medical anti-shock trousers. Nursing implications.医用抗休克裤。护理要点。
AORN J. 1986 May;43(5):1116-21. doi: 10.1016/s0001-2092(07)65838-4.
10
Medical (military) anti-shock trousers--a short review.医用(军用)抗休克裤——简要综述。
Arch Emerg Med. 1984 Mar;1(1):39-51. doi: 10.1136/emj.1.1.39.

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.
2
Medical (military) anti-shock trousers--a short review.医用(军用)抗休克裤——简要综述。
Arch Emerg Med. 1984 Mar;1(1):39-51. doi: 10.1136/emj.1.1.39.
3
Major crush injury.严重挤压伤。
Br Med J (Clin Res Ed). 1987 Apr 4;294(6576):854-5. doi: 10.1136/bmj.294.6576.854.