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损害控制复苏研究新进展

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创伤失血性休克已成为人类死亡和伤残的重要原因,目前尚无最佳的救治方案,损害控制复苏(DCR)是一种较为先进的整合复苏策略,目前已被广泛应用于创伤失血性休克.创伤出血患者的病理生理基础常被称为死亡钻石(低体温、酸中毒、凝血功能障碍、低钙血症),DCR通过强调允许性低血压、限制性液体复苏和输血治疗、目标定向纠正凝血功能障碍、行损害控制手术纠正生理紊乱,挽救创伤患者生命.本综述旨在阐述DCR新的研究进展,加深对该理念的新认识.
Research progress of damage control resuscitation
Traumatic hemorrhagic shock is an important cause of death and disability in humans.At pres-ent,there is no optimal treatment plan.Damage control resuscitation(DCR)is an advanced integrated resuscitation strategy,which has been widely used for traumatic hemorrhagic shock.The pathophysiological basis of traumatic bleeding is often called the diamond of death(hypothermia,acidosis,coagulopathy,and hypocalcemia).DCR can save the lives of trauma patients by emphasizing permissive hypotension,restrictive fluid resuscitation and transfusion therapy,goal-directed correction of coagulopathy,and damage control surgery to correct physiological disorders.This review aims to elaborate on the new research progress of DCR and deepen the new understanding of this concept.

Hemorrhagic shockDamage control resuscitationPhysiological disordersIntegrated recovery

贾哲勇、阿不都如苏力·热西提、秦虎、汪永新

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中南大学湘雅医学院附属常德医院神经外科ICU,湖南 常德 415000

新疆医科大学第一附属医院神经外科,乌鲁木齐 830000

失血性休克 损害控制复苏 生理紊乱 整合复苏

2024

创伤外科杂志
第三军医大学,大坪医院,野战外科研究所

创伤外科杂志

CSTPCD
影响因子:1.017
ISSN:1009-4237
年,卷(期):2024.26(10)