|本期目录/Table of Contents|

[1]林颖,孙艳,李汶谕,等.严重创伤损害控制复苏的研究进展[J].医学研究与战创伤救治(原医学研究生学报),2022,24(4):423-427.[doi:10.3969/j.issn.1672-271X.2022.04.018]
　LIN Ying,SUN Yan,LI Wen-yu,et al.Progress in damage control resuscitation of severe trauma[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2022,24(4):423-427.[doi:10.3969/j.issn.1672-271X.2022.04.018]
点击复制

严重创伤损害控制复苏的研究进展()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第24卷
期数:
2022年4期
页码:
423-427
栏目:
综述
出版日期:
2022-08-30

文章信息/Info

Title:
Progress in damage control resuscitation of severe trauma
作者:
林颖; 孙艳; 李汶谕; 沈中斌
作者单位：735000酒泉，解放军联勤保障部队第九四四医院急诊科（林颖、孙艳、李汶谕、沈中斌）
Author(s):
LIN Ying;  SUN Yan;  LI Wen-yu ;  SHEN Zhong-bin
(Department of Emergency,The 944th Hospital of the PLA Joint Logistic Support Force, Jiuquan 735000,Gansu, China)
关键词:
损害控制复苏技术; 致死三联征; 复苏终点
Keywords:
damage control resuscitation technology;  lethal triad;  endpoints of resuscitation
分类号:
R64
DOI:
10.3969/j.issn.1672-271X.2022.04.018
文献标志码:
A
摘要:
严重创伤后导致的“致死三联征”是患者死亡主要原因之一，如何降低患者死亡率、提高生存率、减少并发症发生率是急诊科和创伤科医务工作者面临的主要问题。对于严重创伤患者的早期救治，特别是创伤后大出血的救治，损害控制复苏技术的应用尤为重要。其概念最先源于战场救援，经过近二十年的临床应用研究表明，损害控制复苏技术极大地降低了严重创伤后的并发症和死亡率。文章就损害控制复苏技术的适应症，重点复苏措施、辅助复苏措施、复苏终点的判断及复苏后处理的研究进展进行综述。
Abstract:
The "lethal triplet" caused by severe trauma is the main cause of death of patients. How todecrease the death rate, improve the survival rate and reduce the incidence of complications is the main problem faced by medical workers in emergency and trauma departments.The application of damage control resuscitation technology is particularly important in primary treatment of severe trauma patients, especially in the treatment of post-traumatic hemorrhage.The concept first originated from battlefield rescue, and after nearly two decades of clinical application research, it has been shown that damage control resuscitation technology significantly reduces post-traumatic complications and mortality.This paper reviews the indications of damage control resuscitation technology, the key resuscitation measures, auxiliary resuscitation measures, the judgment of the end point of resuscitation and the research progress of post-resuscitation treatment.

参考文献/References:

[1]Cannon JW. Hemorrhagic Shock[J]. N Engl J Med, 2018,378(4):370-379.
[2]Leibner E, Andreae M, Galvagno SM, et al. Damage control resuscitation[J]. Clin Exp Emerg Med, 2020,7(1):5-13.
[3]Bridwell RE, Schaffrinna AM, Long B, et al. Damage Control Resuscitation: A Narrative Review of Goals, Techniques, and Components[J]. Med J(Ft Sam Houst Tex), 2021,(PB 8-21-04/05/06):20-31.
[4]张红亮,冯聪,王静，等.损伤控制性手术在创伤治疗中的应用综述[J].解放军医学院学报,2020,41(12):1262-1264.
[5]王南南,陈冠男,余飞，等.救援现场损伤控制性技术的研究进展[J].中华灾害救援医学,2017,5(8):474-478.
[6]Cap AP, Pidcoke HF, Spinella P, et al. Damage Control Resuscitation[J]. Mil Med, 2018,183(suppl_2):36-43.
[7]张连阳,李阳.大出血的损害控制性复苏——挽救战伤伤员的关键[J].解放军医学杂志,2017,42(12):1025-1028.
[8]刘敏.产后出血患者大量输血治疗时血浆和红细胞的比例对凝血功能的影响[J].医学理论与实践,2019,32(6):872-873.
[9]Niles SE, McLaughlin DF, Perkins JG, et al. Increased mortality associated with the early coagulopathy of trauma in combat casualties[J]. Trauma, 2008,64(6):1459-1465.
[10]Makley AT, Goodman MD, Belizaire RM, et al. Damage control resuscitation decreases systemic inflammation after hemorrhage[J]. Surg Res, 2012,175(2):e75-e82.
[11]Sperry JL, Guyette FX, Brown JB, et al. Prehospital Plasma during Air Medical Transport in Trauma Patients at Risk for Hemorrhagic Shock[J]. N Engl J Med, 2018,379(4):315-326.
[12]Cannon JW. Prehospital Damage-Control Resuscitation[J].N Engl J Med, 2018,379(4):387-388.
[13]Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial[J]. JAMA, 2015,313(5):471-482.
[14]Newgard CD, Hedges JR, Adams A, et al. Secondary triage: early identification of high-risk trauma patients presenting to non-tertiary hospitals[J].Prehosp Emerg Care, 2007,11(2):154-163.
[15]任小强.四种评分标准预测创伤患者早期大量输血的对比研究[D].苏州:苏州大学,2014.
[16]钟鑫,宗兆文,秦昊,等.现代战争中损害控制复苏进展[J].华南国防医学杂志,2019,33(2):133-137.
[17]刘峰,丁威威,涂加园,等.允许性低压复苏对创伤失血性休克患者救治效果的系统评价[J].东南国防医药,2020,22(3):295-299.
[18]Beecher HK. Resuscitation and anesthesia[J]. Anesthesiology, 1946,7(6):644-650.
[19]徐月亮.限制性液体复苏治疗创伤失血性休克的临床研究[D].西安:第四军医大学,2015.
[20]Lu Y, Liu L, Wang J, et al. Controlled blood pressure elevation and limited fluid resuscitation in the treatment of multiple injuries in combination with shock[J].Pak J Med Sci, 2018,34(5):1120-1124.
[21]Kochanek PM, Carney N, Adelson PD, et al. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents--second edition[J].Pediatr Crit Care Med, 2012,13(Suppl 1):S1-S82.
[22]Thrailkill MA, Gladin KH, Thorpe CR, et al. Resuscitative Endovascular Balloon Occlusion of the Aorta(REBOA): update and insights into current practices and future directions for research and implementation[J]. Scand J Trauma Resusc Emerg Med, 2021,29(1):8.
[23]Martinelli T, Thony F, Decléty P, et al. Intra-aortic balloon occlusion to salvage patients with life-threatening hemorrhagic shocks from pelvic fractures[J]. Trauma, 2010,68(4):942-948.
[24]Otsuka H, Sato T, Sakurai K, et al. Effect of resuscitative endovascular balloon occlusion of the aorta in hemodynamically unstable patients with multiple severe torso trauma: a retrospective study[J]. World J Emerg Surg, 2018,13:49.
[25]Ball CG, Feliciano DV. Damage control techniques for common and external iliac artery injuries: have temporary intravascular shunts replaced the need for ligation?[J] Trauma, 2010,68(5):1117-1120.
[26]杨福周,罗锦辉,黄远清.临时性血管分流术在四肢GustiloⅢC型开放性骨折治疗中的临床应用研究[J].创伤外科杂志,2017,19(2):120-123.
[27]Stacpoole PW, Wright EC, Baumgartner TG, et al. Natural history and course of acquired lactic acidosis in adults. DCA-Lactic Acidosis Study Group[J]. Am J Med, 1994,97(1):47-54.
[28]Ibrahim I, Chor WP, Chue KM, et al. Is arterial base deficit still a useful prognostic marker in trauma? A systematic review[J]. Am J Emerg Med, 2016,34(3):626-635.
[29]Boyd JH, Walley KR. Is there a role for sodium bicarbonate in treating lactic acidosis from shock?[J] Curr Opin Crit Care, 2008,14(4):379-383.
[30]曹媛媛,陈鑫,李筝. 战创伤低体温的预防与处理研究进展[J].医学研究生学报,2022,35(1):109-112.
[31]CRASH-2 trial collaborators, Shakur H, Roberts I, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage(CRASH-2):a randomised, placebo-controlled trial[J]. Lancet, 2010,376(9734):23-32.
[32]Ausset S, Glassberg E, Nadler R, et al. Tranexamic acid as part of remote damage-control resuscitation in the prehospital setting: A critical appraisal of the medical literature and available alternatives[J]. Trauma Acute Care Surg, 2015,78(6 Suppl 1):S70-S75.
[33]CRASH-2 collaborators, Roberts I, Shakur H, et al. The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial[J]. Lancet, 2011,377(9771):1096-1101.e11012.
[34]陈汀劳,骆慧莎,赵珍喜，等.急性创伤性出血患者早期应用氨甲环酸对凝血功能的影响[J].中华卫生应急电子杂志,2021,7(2):74-78.
[35]丁威威,朱维铭.创伤出血性休克治疗进展[J].中国实用外科杂志,2018,38(1):87-89.
[36]Malgras B, Prunet B, Lesaffre X, et al. Damage control: Concept and implementation[J]. Visc Surg, 2017,154(Suppl 1):S19-S29.
[37]Nathan West, Rob Dawes,Trauma resuscitation and the damage control approach[J]. Surgery(Oxford), 2018,36(8):409-416.
[38]王新宇,潘铁文.战创伤损害控制理论的研究现状和进展[J].创伤外科杂志,2017,19(3):238-242.
[39]许永安,张茂.严重创伤损害控制治疗策略的应用进展[J].创伤外科杂志,2018,20(11):879-880,封3.
[40]Van Eaton EG, Zatzick DF, Gallagher TH, et al. A nationwide survey of trauma center information technology leverage capacity for mental health comorbidity screening[J]. Am Coll Surg, 2014,219(3):505-10.e1.

相似文献/References:

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2022-09-06