Damage control surgery and the abdomen

被引:53
作者
Sugrue, M [1 ]
D'Amours, SK [1 ]
Joshipura, M [1 ]
机构
[1] Liverpool Hosp, Trauma Dept, Liverpool, NSW 2170, Australia
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2004年 / 35卷 / 07期
关键词
damage control surgery; abdominal trauma; multi-system injury; hypothermia; coagulopathy;
D O I
10.1016/j.injury.2004.03.011
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
There is a complex interplay between primary injury, particularly major abdominal injury in the multi-system trauma patient, and secondary injury, which relate to patient physiology, decision making and surgical technique. Analysis of outcomes is further confounded by the variety of surgical techniques used. The challenge is to match the correct operation, for a critically injured patient, with the patient's physiology. Excellence in general surgery does not equate with excellence in trauma surgery, and a clear understanding of damage control is essential. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:642 / 648
页数:7
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