|本期目录/Table of Contents|

[1]卢畅,黄禾菁,孙吕平.主动脉阻断技术在控制不可压缩躯干出血方面的应用进展[J].医学研究与战创伤救治(原医学研究生学报),2023,25(2):177-182.[doi:10.3969/j.issn.1672-271X.2023.02.014]
　LU Chang,HUANG Hejing,SUN Lüping.Progress in the application of aortic clamping techniques in the control of NCTH[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2023,25(2):177-182.[doi:10.3969/j.issn.1672-271X.2023.02.014]
点击复制

主动脉阻断技术在控制不可压缩躯干出血方面的应用进展()
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25卷
期数:
2023年2期
页码:
177-182
栏目:
综述
出版日期:
2023-05-31

文章信息/Info

Title:
Progress in the application of aortic clamping techniques in the control of NCTH
作者:
卢畅; 黄禾菁; 孙吕平
作者单位：200003上海，海军军医大学（原第二军医大学）长征医院超声科（卢畅、黄禾菁），医务处（孙吕平）
Author(s):
LU Chang1 ;  HUANG Hejing1;  SUN Lüping2
(1.Department of Ultrasound, 2. Department of Medical Service, Changzheng Hospital Affiliated to Naval Medical University, Shanghai 200003, China)
关键词:
主动脉阻断; 外部主动脉压迫; 腹主动脉连接止血带; 胃食管复苏性主动脉闭塞; 腹膜内止血装置; 复苏性血管内主动脉球囊闭塞
Keywords:
occlusion of the aorta;  external aortic compression;  abdominal aortic and junctional tourniquet;  gastroesophageal resuscitative occlusion of the aorta;  intra-peritoneal hemostasis device;  resuscitative endovascular balloon occlusion of the aorta
分类号:
R6
DOI:
10.3969/j.issn.1672-271X.2023.02.014
文献标志码:
A
摘要:
美军十年海外战争的战伤救治经验证实控制出血对降低战伤死亡率的意义至关重要。躯干和躯干交界处出血的止血比四肢出血的止血过程复杂，四肢止血带的应用对降低战伤死亡率具有很好的效果，但躯干和躯干交界处出血常规方法难以奏效。近年来发展的主动脉阻断技术通过阻断主动脉通路控制远心端不可压缩躯干的出血，其应用在动物实验和小范围临床研究方面获得了成功。文章就主动脉阻断技术和各技术的应用特点进行综述。
Abstract:
The U.S. military’s 10 years of combat wound care experience in foreign wars confirms that bleeding control is critical to reducing the significance of combat wound mortality. The hemostatic process of bleeding at the junction of torso and torso is more complicated than that of bleeding at the extremities. The application of tourniquet at the extremities has a good effect on decreasing the mortality of combat injuries, but the conventional method of bleeding at the junction of torso and torso is not effective. In recent years, the aortic occlusion technique has been developed to control Non-compressible truncal hemorrhage by blocking the aortic access, and its application has been successful in animal experiments and small-scale clinical studies. This study reviews the techniques of aortic occlusion and their application characteristics, so as to guide clinical decision makers to correctly understand and choose aortic occlusion techniques.

参考文献/References:

[1]Eastridge BJ,Mabry RL,Seguin P, et al.Death on the battlefield (2001-2011): implications for the future of combat casualty care[J].J Trauma Acute Care Surg,2012,73(6 Suppl 5):S431-437.
[2]Kragh JF Jr,Murphy C,Dubick MA, et al.New tourniquet device concepts for battlefield hemorrhage control[J].US Army Med Dep J,2011:38-48.
[3]Alarhayem AQ,Myers JG,Dent D, et al.Time is the enemy: Mortality in trauma patients with hemorrhage from torso injury occurs long before the "golden hour"[J].Am J Surg,2016,212(6):1101-1105.
[4]McCracken BM,Ward KR,Tiba MH.A review of two emerging technologies for pre-hospital treatment of non-compressible abdominal hemorrhage[J].Transfusion,2022,62 Suppl 1:S313-S322.
[5]Shi C,Li S,Wang Z, et al.Prehospital aortic blood flow control techniques for non-compressible traumatic hemorrhage[J].Injury,2021,52(7):1657-1663.
[6]Paix BR,Tingey DJ,Copley G, et al.Prehospital External Aortic Compression for Temporizing Exsanguinating Sub-Diaphragmatic Hemorrhage-A Promising Technique, but with Challenges: Four Illustrative Cases, Including Two Survivors[J].Prehosp Disaster Med,2020,35(1):115-118.
[7]Riley DP,Burgess RW.External abdominal aortic compression: a study of a resuscitation manoeuvre for postpartum haemorrhage[J].Anaesth Intensive Care,1994,22(5):571-575.
[8]Soltan MH,Faragallah MF,Mosabah MH, et al.External aortic compression device: the first aid for postpartum hemorrhage control[J].J Obstet Gynaecol Res,2009,35(3):453-458.
[9]Douma M,Smith KE,Brindley PG.Temporization of penetrating abdominal-pelvic trauma with manual external aortic compression: a novel case report[J].Ann Emerg Med,2014,64(1):79-81.
[10]Douma M,Brindley PG.Abdominal aortic and iliac artery compression following penetrating trauma: a study of feasibility[J].Prehosp Disaster Med,2014,29(3):299-302.
[11]Douma MJ,O’Dochartaigh D,Brindley PG.Bi-manual proximal external aortic compression after major abdominal-pelvic trauma and during ambulance transfer: A simulation study[J].Injury,2017,48(1):26-31.
[12]Smith S,White J,Wanis KN, et al.The effectiveness of junctional tourniquets: A systematic review and meta-analysis[J].J Trauma Acute Care Surg,2019,86(3):532-539.
[13]Lyon M,Shiver SA,Greenfield EM, et al.Use of a novel abdominal aortic tourniquet to reduce or eliminate flow in the common femoral artery in human subjects[J].J Trauma Acute Care Surg,2012,73(2 Suppl 1):S103-105.
[14]Anonymous A.Abdominal aortic tourniquet? Use in afghanistan[J].J Spec Oper Med,2013,13(2):1-2.
[15]Croushorn J,McLester J,Thomas G, et al.Abdominal aortic tourniquet controls junctional hemorrhage from a gunshot wound of the axilla[J].J Spec Oper Med,2013,13(3):1-4.
[16]Kheirabadi BS,Terrazas IB,Miranda N, et al.Long-term consequences of abdominal aortic and junctional tourniquet for hemorrhage control[J].J Surg Res,2018,231:99-108.
[17]Brnnstrm A,Rocksén D,Hartman J, et al.Abdominal Aortic and Junctional Tourniquet release after 240 minutes is survivable and associated with small intestine and liver ischemia after porcine class II hemorrhage[J].J Trauma Acute Care Surg,2018,85(4):717-724.
[18]Kheirabadi BS,Terrazas IB,Miranda N, et al.Physiological Consequences of Abdominal Aortic and Junctional Tourniquet (AAJT) Application to Control Hemorrhage in a Swine Model[J].Shock,2016,46(3 Suppl 1):160-166.
[19]Rall JM,Ross JD,Clemens MS, et al.Hemodynamic effects of the Abdominal Aortic and Junctional Tourniquet in a hemorrhagic swine model[J].J Surg Res,2017,212:159-166.
[20]Do WS,Forte DM,Sheldon RR, et al.Minimally invasive preperitoneal balloon tamponade and abdominal aortic junctional tourniquet versus open packing for pelvic fracture-associated hemorrhage: Not all extrinsic compression is equal[J].J Trauma Acute Care Surg,2019,86(4):625-634.
[21]Brnnstrm A,Dahlquist A,Gustavsson J, et al.Increased crystalloid fluid requirements during zone 3 Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) versus Abdominal Aortic and Junctional Tourniquet (AAJT) after class II hemorrhage in swine[J].Eur J Trauma Emerg Surg,2022,48(1):335-344.
[22]Bulger EM,Perina DG,Qasim Z, et al.Clinical use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in civilian trauma systems in the USA, 2019: a joint statement from the American College of Surgeons Committee on Trauma, the American College of Emergency Physicians, the National Association of Emergency Medical Services Physicians and the National Association of Emergency Medical Technicians[J].Trauma Surg Acute Care Open,2019,4(1):e000376.
[23]Cantle PM,Hurley MJ,Swartz MD, et al.Methods for Early Control of Abdominal Hemorrhage: An Assessment of Potential Benefit[J].J Spec Oper Med,2018,18(2):98-104.
[24]Tiba MH,McCracken BM,Colmenero CI, et al.Gastroesophageal resuscitative occlusion of the aorta: Physiologic tolerance in a swine model of hemorrhagic shock[J].J Trauma Acute Care Surg,2020,89(6):1114-1123.
[25]McCracken BM,Tiba MH,Colmenero Mahmood CI, et al.Gastroesophageal resuscitative occlusion of the aorta prolongs survival in a lethal liver laceration model[J].J Trauma Acute Care Surg,2022,92(5):880-889.
[26]Tiba MH,McCracken BM,Greer NL, et al.Tandem use of Gastroesophageal Resuscitative Occlusion of the Aorta followed by REBOA in a Lethal Liver Laceration Model[J].J Trauma Acute Care Surg, 2023,94(1):148-155.
[27]McCracken BM,Tiba MH,Colmenero CI, et al.Novel intraperitoneal hemostasis device prolongs survival in a swine model of noncompressible abdominal hemorrhage[J].J Trauma Acute Care Surg,2021,90(5):838-844.
[28]Chang JC,Holloway BC,Zamisch M, et al.ResQFoam for the Treatment of Non-Compressible Hemorrhage on the Front Line[J].Mil Med,2015,180(9):932-933.
[29]Stannard A,Eliason JL,Rasmussen TE.Resuscitative endovascular balloon occlusion of the aorta (REBOA) as an adjunct for hemorrhagic shock[J].J Trauma,2011,71(6):1869-1872.
[30]Morrison JJ,Lendrum RA,Jansen JO.Resuscitative endovascular balloon occlusion of the aorta (REBOA): a bridge to definitive haemorrhage control for trauma patients in Scotland?[J] Surgeon,2014,12(3):119-120.
[31]Brenner M,Inaba K,Aiolfi A, et al.Resuscitative Endovascular Balloon Occlusion of the Aorta and Resuscitative Thoracotomy in Select Patients with Hemorrhagic Shock: Early Results from the American Association for the Surgery of Trauma’s Aortic Occlusion in Resuscitation for Trauma and Acute Care Surgery Registry[J].J Am Coll Surg,2018,226(5):730-740.
[32]Borger van der Burg BLS,van Dongen TTCF,Morrison JJ, et al.A systematic review and meta-analysis of the use of resuscitative endovascular balloon occlusion of the aorta in the management of major exsanguination[J].Eur J Trauma Emerg Surg,2018,44(4):535-550.
[33]White JM,Cannon JW,Stannard A, et al.A porcine model for evaluating the management of noncompressible torso hemorrhage[J].J Trauma,2011,71(1 Suppl):S131-138.
[34]Brenner ML,Moore LJ,DuBose JJ, et al.A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation[J].J Trauma Acute Care Surg,2013,75(3):506-511.
[35]DuBose JJ,Scalea TM,Brenner M, et al.The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA)[J].J Trauma Acute Care Surg,2016,81(3):409-419.
[36]Castellini G,Gianola S,Biffi A, et al.Resuscitative endovascular balloon occlusion of the aorta (REBOA) in patients with major trauma and uncontrolled haemorrhagic shock: a systematic review with meta-analysis[J].World J Emerg Surg,2021,16(1):41.
[37]Ribeiro Junior MAF,Feng CYD,Nguyen ATM, et al.The complications associated with Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA)[J].World J Emerg Surg,2018,13:20.
[38]Marciniuk P,Pawlaczyk R,Rogowski J, et al.REBOA - new era of bleeding control, literature review[J].Pol Przegl Chir,2019,92(2):42-47.
[39]Zhang ZY,Zhang HY,Talmy T, et al.Management of non-compressible torso hemorrhage: An update[J].Chin J Traumatol,2021,24(3):125-131.
[40]Polcz JE,Ronaldi AE,Madurska M, et al.Next-Generation REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) Device Precisely Achieves Targeted Regional Optimization in a Porcine Model of Hemorrhagic Shock[J].J Surg Res,2022,280:1-9.

相似文献/References:

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2023-07-24