从创伤中学习如何使产科人群受益?损伤控制手术

IF 1.7
María Fernanda Escobar Vidarte, Daniela Nasner, Albaro José Nieto-Calvache, María Paula Echavarría, Javier Andrés Carvajal
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引用次数: 0

摘要

最近在严重产后出血中实施的创伤验证损害控制策略证明了产科患者跨学科管理的重要性。大出血控制技术和损伤控制手术是从创伤中学习如何使产科人群受益的明显例子。目前,大多数产科项目不包括这类干预措施的培训。然而,研究表明,这些干预措施是有用的管理严重产后出血。本文的目的是介绍损伤控制手术原理在产科大出血治疗中的应用。我们建议在产科管理协议中纳入适当的培训和实施损害控制手术。在出血来源得到控制后仍持续血流动力学不稳定的患者中,可考虑及时应用损伤控制原则。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How Learning from Trauma Benefits the Obstetric Population? Damage Control Surgery.

The recent implementation of trauma-validated damage control strategies in severe postpartum hemorrhage proves the importance of interdisciplinary management in the obstetric patient. Massive hemorrhage control techniques and damage control surgery are clear examples of how learning from trauma can benefit the obstetric population. Currently, most obstetric programs do not include training in this type of interventions. Nevertheless, it has been shown that these interventions are useful in the management of severe postpartum hemorrhage. The aim of this article is to introduce the application of damage control surgery principles in the management of massive obstetric hemorrhage. We propose to include appropriate training and the implementation of damage control surgery in obstetric management protocols. The prompt application of damage control principles can be considered in patients with persistent hemodynamic instability despite control of the source of bleeding.

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