期刊文献+

损伤控制性手术逆转肝外伤凝血功能障碍的诊治体会 被引量:11

下载PDF
导出
摘要 目的探讨损伤控制性手术(DCS)逆转凝血功能障碍治疗严重肝脏创伤的可行性及有效性。方法回顾性分析采用DCS原则治疗27例严重肝脏创伤患者的临床资料。结果 27例患者均经DCS治疗,在ICU复苏期间监测患者的术后引流量和凝血功能,治愈25例(92.59%)。死亡2例(7.40%),死亡原因与手术无关。结论对严重肝脏创伤患者,实施DCS策略,尽早逆转凝血功能障碍,可提高抢救成功率。
出处 《广东医学》 CAS CSCD 北大核心 2014年第18期2868-2869,共2页 Guangdong Medical Journal
基金 江西省卫生厅科技计划课题(编号:20093027)
  • 相关文献

参考文献10

  • 1STONE H H, STROM P R, MULLINGS R J. Managment of the major coagulopathy with onset during laparotomy [ J ]. Ann Surg, 1983, 197(5) : 532 -535.
  • 2李宁.损伤控制性外科中凝血功能障碍的治疗[J].中国实用外科杂志,2012,32(1):2-4. 被引量:12
  • 3MOORE E E, COGBILL T H, JURKOVICH G J, et al. Organ in- jury scaling: spleen and liver( 1994 revision) [J]. J Trauma, 1995, 38(3) : 323 -324.
  • 4任建安,黎介寿.损伤控制性复苏[J].中国实用外科杂志,2007,27(8):593-594. 被引量:52
  • 5PIPER G L, PEITZMAN A B. Current management of hepatic trauma[J]. Surg Clin North Am, 2010, 90(4): 775 -785.
  • 6AHMED N. Comment on the article " Damage control surgery be- fore organ harvesting" [J]. J Trauma, 2007, 63(2) : 455 -456.
  • 7LEPPNIEMI A K, MENTULA P J, STRENG M H, et al. Severe hepatic trauma: nonoperative management, definitive repair, or damage control surgery? [J]. World J Surg, 2011, 35 (12): 2643 - 2649.
  • 8SAMOKHVALOV I M, MANUKOVSKII V A, BADALOV V I, et al. Damage control in field surgery[ J]. Voen Med Zh, 2011,332 (9) : 30 -36.
  • 9KAPAN M, ONDER A, OGUZ A, et al. The effective risk factors on mortality in patients undergoing damage control surgery [ J ]. Eur Rev Med pharmacol Sci, 2013, 17(12) : 1681 -1687.
  • 10LIN B C, FANG J F, CHEN R J, et al. Surgical management and outcome of blunt major liver injuries : experience of damage control laparotomy with perihepatic packing in one trauma centre[ J]. In- jury, 2014, 45(1) : 122 -127.

二级参考文献18

  • 1李宁.外科新理念:损伤控制性手术[J].中国实用外科杂志,2007,27(1):28-32. 被引量:145
  • 2Kashuk JL, Moore EE, Sawyer M, et al. Postinjury coagulopathy management: goal directed resuscitation via POC thrombelastog- raphy[J]. Ann Surg,2010,251(4): 604-614.
  • 3Borgman MA, Spinella PC, Perkins JG, et al. The ratio of blood products transfused affects mortality in patients receiving mas- sive transfusions at a combat support hospita! [J]. J Trauma, 2007,63(4): 805-813.
  • 4Gunter OL,Au BK, Isbell JM, et al. Optimizing outcomes in dam- age control resuscitation: identifying blood product ratios associ- ated with improved survival[ J ]. J Trauma,2008,65(3): 527-534.
  • 5Hoffman M, Monroe DM. A cell-based model of hemostasis. Thmmb Haemost,2001,85(6): 958-965.
  • 6Hoffman M, Whinna HC, Monroe DM. Circulating tissue factor accumulates in thrombi, but not in hemostatic plugs [J]. J Thromb Haemost.2006,4(9): 2092-2093.
  • 7Vincent JL, Rossaint R, Riou B, et al. Recommendations on the use of recombinant activated factor VII as an adjunctive treat- ment for massive bleeding-a European perspective [J]. Crit Care,2006,10(4): 120.
  • 8Levi M, Peters M, Buller HR. Efficacy and safety of recombinant factor VIIa for treatment of severe bleeding: a systematic review [J]. Crit Care Med,2005,33(4): 883-890.
  • 9Meijer K, Hendriks HG, De Wolf JT, et al. Recombinant factor VH a in orthotopic liver transplantation: influence on parameters of coagulation and fibrinolysis [J]. Blood Coagul Fibrinolysis, 2003,14(2): 169-174.
  • 10Kenet G. High-dose recombinant factor Ⅶ a therapy in hemophilia patients with inhibitors [J]. Semin Hematol,2006,43(1 suppl): 108-110.

共引文献62

同被引文献100

  • 1王一镗.严重创伤救治的策略——损伤控制性手术[J].中华创伤杂志,2005,21(1):32-35. 被引量:264
  • 2谭友春,卢榜裕,蔡小勇,范平,张其顺,龚家明,陈延林,何德云.严重肝外伤外科治疗91例分析[J].肝胆外科杂志,2006,14(1):53-55. 被引量:8
  • 3王鹏飞,李幼生,黎介寿.严重腹部创伤的损伤控制性手术[J].肠外与肠内营养,2007,14(5):297-300. 被引量:17
  • 4Frith D,Davenport R,Brohi K. Acute traumatic coagulopathy [J]. Curr Opin Anaesthesiol, 2012,25(2) :229-234.
  • 5Cohen MJ. Towards hemostatic resuscita- tion: the changing understanding of acute traumatic biology, massive bleeding, and damage-control resuscitation[J]. Surg Clin North Am, 2012,92(4) : 877-891.
  • 6Wohlauer MV,Moore EE,Thomas S,et al. Early platelet dysfunction : an unrecog- nized role in the acute coagulopathy of tramna[J]. J Am Coil Surg, 2012,214 ( 5 ) : 739-746.
  • 7Tumram NK,Ambade VN,Dixit PG.Compression asphyxia in upright suspended position[J].Am J Forensic Med Pathol, 2014,35(2):80-82.
  • 8Hu X,Wesson DE,Logsetty S,et al.Funetional limitations and recovery in children with severe trauma: a one-year follow-up[J]. J Trauma, 1994,37 (2) : 209-213.
  • 9Miyata S, Maeda T.Diagnosis and treatment of heparin-induced thrombocytopenia (HIT) based on its atypical immuno- logical features[J].Rinsho Ketsueki, 2016,57 ( 3 ) : 322-332.
  • 10Wang M, Shibamoto T, Kuda Y,et al.The responses of pulmonary and systemic circulation and airway to allergic Mediators in anesthetized rats[J]. Biol Pharm Bu11,2016,39(4):556-563.

引证文献11

二级引证文献62

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部