重视严重创伤院内救治质量控制

被引:15
作者
张连阳
机构
[1] 第三军医大学大坪医院野战外科研究所全军战创伤中心创伤、烧伤与复合伤国家重点实验室
关键词
创伤; 院内救治; 质量;
D O I
10.16016/j.1000-5404.2010.23.016
中图分类号
R641.05 [];
学科分类号
摘要
The treatment concept for severe trauma has greatly changed. In developed countries, the trauma mortality pattern has shifted from a three-peak curve to a singlet curve, resulting in a standard pattern in which multi-disciplinary surgeons take responsibility of the whole treatment course. Life-saving operations for recovering the airway, respiratory and circulatory functions also belong to resuscitation. Focus on in-hospital trauma evaluation should be distinguished in different stages following the concept of "the faster the better". In the process of treatment, surgeons should control the pre-operation time, surgery time, and time to achieve resuscitation endpoints, with planned and staged damage control strategies by following the treatment order of ventilation, operation, bleeding control, infusion and pulsation.
引用
收藏
页码:2475 / 2477
页数:3
相关论文
共 10 条
[1]
多发伤的紧急伤情评估策略 [J].
张连阳 .
创伤外科杂志, 2010, 12 (01) :1-3
[2]
规范应用AIS-ISS(2005)提高多发伤诊断水平 [J].
张连阳 .
创伤外科杂志, 2009, 11 (06) :572-573
[3]
创伤患者院内感染:危险因素与对策 [J].
蒋建新 .
第三军医大学学报, 2009, 31 (01) :13-16
[4]
多发伤早期救治中64层螺旋CT的应用 [J].
张连阳 ;
姚元章 ;
王韬 ;
刘朝普 ;
李英才 ;
张宇 ;
黄显凯 ;
何奇元 ;
张伟国 ;
王毅 ;
陈蓉 .
第三军医大学学报, 2008, (14) :1374-1377
[5]
COMPARISON OF MORTALITY DUE TO SEVERE MULTIPLE TRAUMA IN TWO COMPREHENSIVE MODELS OF EMERGENCY CARE: ATLANTIC PYRENEES (FRANCE) AND NAVARRA (SPAIN) [J].
de Segura Nieva, Jose Luis Gomez ;
Marraco Boncompte, Mercedes ;
Echarri Sucunza, Alfredo ;
Jean Louis, Clint Luise ;
Segui-Gomez, Maria ;
Belzunegui Otano, Tomas .
JOURNAL OF EMERGENCY MEDICINE, 2009, 37 (02) :189-200
[6]
Applicability of the trimodal distribution of trauma deaths in a Level I trauma centre in the Netherlands with a population of mainly blunt trauma [J].
de Knegt, C. ;
Meylaerts, S. A. G. ;
Leenen, L. P. H. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2008, 39 (09) :993-1000
[7]
Polytrauma - pathophysiology and management principles [J].
Gebhard, F. ;
Huber-Lang, M. .
LANGENBECKS ARCHIVES OF SURGERY, 2008, 393 (06) :825-831
[8]
Damage control surgery for the patient who has experienced multiple traumatic injuries.[J].Barbara J. McArthur.AORN Journal.2006, 6
[9]
Trauma deaths in a mature urban trauma system: Is "trimodal" distribution a valid concept? [J].
Demetriades, D ;
Kimbrell, B ;
Salim, A ;
Velmahos, G ;
Rhee, P ;
Preston, C ;
Gruzinski, G ;
Chan, L .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2005, 201 (03) :343-348
[10]
Hospital trauma care in multiple-casualty incidents: A critical view [J].
Hirshberg, A ;
Holcomb, JB ;
Mattox, KL .
ANNALS OF EMERGENCY MEDICINE, 2001, 37 (06) :647-652