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[飞行外科医生实践中的急诊心脏手术]

[Emergency heart surgery in the practice of the flight surgeon].

作者信息

Verushkin Iu I, Evtikhov R M, Chistiakov B N

出版信息

Grud Serdechnososudistaia Khir. 1993(2):22-4.

PMID:8329226
Abstract

The authors analyze the materials from departments of emergency and advisory aid (sanitary aviation) over the past 20 years. Emergency care was rendered to cardiosurgical patients with cardiac and pericardial traumatic injuries in the surgical department of central district hospitals. They consider the reasons for a consultant's call, diagnostic aspects and board surgeon's organizational policy. The organizational policy in rendering cardiovascular patients an emergency surgical care consists in compulsory surgical interventions at the site of an accident. Patients with early postoperative complications should be evacuated to specialized departments. When the complications can occur in the absence of adequate management in the postoperative period in the central district hospitals the patients should be also evacuated to the specialized departments. Improving the qualification of a general surgeon is a basis for successful surgical aid rendered to patients with cardiac injuries.

摘要

作者分析了过去20年中急诊和咨询援助部门(卫生航空)的资料。中区医院外科为患有心脏和心包创伤性损伤的心脏外科患者提供了紧急护理。他们考虑了会诊的原因、诊断方面以及外科主任的组织政策。为心血管患者提供紧急外科护理的组织政策包括在事故现场进行强制性手术干预。术后早期并发症患者应转至专科科室。当中区医院术后管理不当可能出现并发症时,患者也应转至专科科室。提高普通外科医生的资质是成功为心脏损伤患者提供外科援助的基础。