摘要
多发伤普遍伤情很严重，多为高能量伤，并发症发生率高，容易导致感染、低氧血症、休克和多器官功能衰竭。它已经成为当今人类死亡的主要原因之一。随着经济和现代交通的发展，多发伤的发生日益频繁，情况也日益复杂，其诊疗需要多个学科协作，抢救必须争分夺秒，如何提供及时有效的救治就成为当前急诊医学研究的重要内容。急诊医师作为多发伤的抢救主体，应该关注多发伤的救治方法和进展。近年来，创伤控制观念的提出使多发伤救治成功率大大提高；对于致死性三联征的进一步理解为加强治疗提供了理论和实践的基础；允许性低血压等容量复苏的新观点在临床上的应用为抢救赢得了宝贵的时间。
Multiple trauma resuscitation is rapidly becoming a specialty in its own right and involves mastering several different skill sets, and now remains the top priority of the emergency medical services. This concentrates on treating catastrophic hemorrhage first. Then it follows by airway, breathing and circulation. Some of the variations from ATLS include the use of physician - led prehospital retrieval delivering rapid sequence intubation （RSI）, blood products, thoracotomy, hypotensive resuscitation. Active treatment of the lethal triad of hypothermia, acidosis and coagulation dysfunction is now recognized as the pivot in improving outcome. The review is aimed at elaborating on recent advances in multiple trauma practice, and guide the clinician, especially to the emergency doctor at the initial resuscitation stage.
出处
《中国急救医学》
CAS
CSCD
北大核心
2010年第3期208-211,共4页
Chinese Journal of Critical Care Medicine
关键词
多发伤
致死性三联征
创伤控制
容量复苏
Multiple trauma
Lethal triad
Damage control
Fluid resuscitation
