EMERGENCY CENTER THORACOTOMY - IMPACT OF PREHOSPITAL RESUSCITATION

被引：142

作者：

DURHAM, LA ^{[1
]}

RICHARDSON, RJ ^{[1
]}

WALL, MJ ^{[1
]}

PEPE, PE ^{[1
]}

MATTOX, KL ^{[1
]}

机构：

[1] BEN TAUB GEN HOSP,HOUSTON,TX 77030

来源：

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE | 1992年 / 32卷 / 06期

关键词：

D O I：

10.1097/00005373-199206000-00019

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Emergency center thoracotomy was performed at our facility on 389 patients from 1984 through 1989. There were no patients excluded from the study, and survival for all patients was 8.3% with survival rates of 15.2% and 7.3% for stab and gunshot wounds, respectively. Emergency center thoracotomy was performed on 42 patients suffering from isolated extrathoracic injuries with 7% survival. There were no survivors of blunt trauma in this study. Fifty-three percent of the patients arrived with cardiopulmonary resuscitation (CPR) in progress. The average time of prehospital CPR for survivors was 5.1 minutes compared with 9.1 minutes for nonsurvivors. Of the survivors, prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p < 0.001). Emergency center thoracotomy is useful in the resuscitation of victims dying of penetrating truncal trauma. Prehospital endotracheal intubation significantly lengthened the time of successful CPR.

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页码：775 / 779

页数：5

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