目的探讨和总结损伤控制外科(damage control surgery,DCS)技术在抢救严重多发伤中的治疗和处理。方法回顾性分析129例严重多发伤(ISS评分平均34.2分)患者采取DCS技术治疗的临床效果。结果 129例严重多发伤患者中,采用DCS技术后存活102...目的探讨和总结损伤控制外科(damage control surgery,DCS)技术在抢救严重多发伤中的治疗和处理。方法回顾性分析129例严重多发伤(ISS评分平均34.2分)患者采取DCS技术治疗的临床效果。结果 129例严重多发伤患者中,采用DCS技术后存活102例,死亡27例,死亡率20.93%(27/129)。死亡27例中,早期死于急性大出血11例,严重颅脑损伤5例,严重胸部损伤3例,颈椎骨折并高位截瘫2例,晚期2例死于ARDS,4例死于MOF。结论将DSC技术合理使用在严重多发伤的抢救中,能增加患者的"生理潜能",纠正严重的内环境紊乱,使安全度过创伤的急性反应期,能够明显提高患者的生存率,有相当的临床使用价值。展开更多
BACKGROUND:We investigated whether the use of a specially designed visual estimation tool may improve accuracy in quantifying blood volumes related to surface spreading.METHODS:A prospective,paired-control,single-blin...BACKGROUND:We investigated whether the use of a specially designed visual estimation tool may improve accuracy in quantifying blood volumes related to surface spreading.METHODS:A prospective,paired-control,single-blinded experimental study was performed at a medical university.Anesthesiologists and emergency medical personnel estimated various blood volumes on surfaces with varying absorptivity(carpet,towel,polyvinyl chloride,wooden fl ooring)in an experimental setting.We assessed the sensitivity of training blood volume quantifi cation using a self-designed visual estimation tool by comparing the accuracy of visual blood volume estimations before and after practical training with the tool.RESULTS:A total of 352 estimations by 44 participants were evaluated.Accurate estimations improved significantly from pre-training to post-training(P<0.05).The sensitivity of blood volume quantifi cation was 33.0%after training with the visual estimation tool.Estimations did not depend on age,profession,gender or years of the estimator’s professional experience.CONCLUSIONS:Training with a visual estimation tool by professional rescuers can improve the estimation accuracy of blood volumes spread on surfaces with varying absorptivity.展开更多
文摘目的探讨和总结损伤控制外科(damage control surgery,DCS)技术在抢救严重多发伤中的治疗和处理。方法回顾性分析129例严重多发伤(ISS评分平均34.2分)患者采取DCS技术治疗的临床效果。结果 129例严重多发伤患者中,采用DCS技术后存活102例,死亡27例,死亡率20.93%(27/129)。死亡27例中,早期死于急性大出血11例,严重颅脑损伤5例,严重胸部损伤3例,颈椎骨折并高位截瘫2例,晚期2例死于ARDS,4例死于MOF。结论将DSC技术合理使用在严重多发伤的抢救中,能增加患者的"生理潜能",纠正严重的内环境紊乱,使安全度过创伤的急性反应期,能够明显提高患者的生存率,有相当的临床使用价值。
文摘BACKGROUND:We investigated whether the use of a specially designed visual estimation tool may improve accuracy in quantifying blood volumes related to surface spreading.METHODS:A prospective,paired-control,single-blinded experimental study was performed at a medical university.Anesthesiologists and emergency medical personnel estimated various blood volumes on surfaces with varying absorptivity(carpet,towel,polyvinyl chloride,wooden fl ooring)in an experimental setting.We assessed the sensitivity of training blood volume quantifi cation using a self-designed visual estimation tool by comparing the accuracy of visual blood volume estimations before and after practical training with the tool.RESULTS:A total of 352 estimations by 44 participants were evaluated.Accurate estimations improved significantly from pre-training to post-training(P<0.05).The sensitivity of blood volume quantifi cation was 33.0%after training with the visual estimation tool.Estimations did not depend on age,profession,gender or years of the estimator’s professional experience.CONCLUSIONS:Training with a visual estimation tool by professional rescuers can improve the estimation accuracy of blood volumes spread on surfaces with varying absorptivity.
