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骨科损伤控制 被引量：15

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摘要 1 概述 20世纪60年代以前，多发伤患者不推荐常规手术固定，认为早期手术容易引起脂肪栓塞。大多数骨科医师推荐在伤后10～14d手术。自70年代后，有文献报道股骨骨折早期手术固定相比非手术治疗能显著降低创伤后呼吸功能衰竭等并发症，认为手术应在伤后24h内进行。Bone等把178例股骨骨折患者随机分成早期固定（24h内）组和延迟固定（48h后）组，结果延迟固定组有较高的肺部并发症发生率。与此同时，重症监护技术的提高使术后并发症进一步降低，一时间早期完全处理（early total care，ETC）成了多发伤患者骨折处理的金标准。
作者 徐建杰 潘志军 郑强
机构地区 浙江大学医学院附属第二医院骨科
出处 《中华创伤杂志》 CAS CSCD 北大核心 2006年第10期795-798,共4页 Chinese Journal of Trauma
关键词 骨科医师 损伤控制 并发症发生率 手术固定 早期手术 呼吸功能衰竭 重症监护技术 股骨骨折
分类号 R68 [医药卫生—骨科学]
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参考文献24

  • 1Bone LB, Johnson KD, Weigelt J, et al.Early versus delayed stabilization of fractures: a prospective randomized study. J Bone Joint Surg (Am), 1989, 71:336 -340.
  • 2Pape HC, Grimme K, Van Griensven M, et al. Impact of intramedullary instrumentation versus damage control for femoral fractures on immunoinflammatory parameters: prospective randomized analysis by the EPOFF Study Group. J Trauma, 2003, 55:7-13.
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  • 5Pape HC, Hildebrand F, Pertschy S, et al.Changes in the management of femoral shaft fractures in polytrauma patients: from early total care to damage control orthopedic surgery. J Trauma, 2002, 53:452 -462.
  • 6Harwood PJ, Giannoudis PV,Probst C,et al.The risk of local infective complications after damage control procedures for femoral shaft fracture. J Orthop Trauma, 2006, 20:181-189
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二级参考文献22

  • 1蔡贤华,罗芝荣,郑玉明,徐永年,陈庄洪.骨折合并脂肪栓塞综合征的早期诊断和治疗[J].中华创伤杂志,1995,11(3):178-179. 被引量：13
  • 2Yokioka T, Muraoka A, Kanai N. Abdominal compartment syndrome following damage control surgery: pathophysiology and decompression of intruabdominal pressure. Nippon Geka Gakkai Zasshi, 2002, 103 ..529 - 535.
  • 3IKegami K, Yamada K, Morimoto F, et al. Pathophysiologic changes in trauma patients and indications of damage control surgery. Nippon Geka Gakkai Zasshi, 2002, 103:507 -510.
  • 4Vargo DJ, Battistella FD. Abbreviated thoracotomy and temporary chest closure: an application of damage control after thoracic trauma.Arch Surg, 2001, 136:21 -24.
  • 5Hirshberg A, Walden R. Damage control for abdominal trauma. Surg Clin North Am, 1997, 77 : 813 - 820.
  • 6Pape HC, Hildebrand F, Partschy S, et al. Change in the management of femoral shaft fractures in polytrauma patients: from early total care to damage control orthopedic surgery. J Trauma, 2002, 53:452-461.
  • 7Aucar JA, Hirshberg A. Damage control for vascular injuries. Surg Clin North Am, 1997, 77:853 - 862.
  • 8Yokioka T, Muraoka A, Kanai N. Abdominal compartment syndrome following damage control surgery: pathophysiology and decompression of intruabdominal pressure. Nippon Geka Gakkai Zasshi, 2002, 103:529-535.?A
  • 9IKegami K, Yamada K, Morimoto F, et al. Pathophysiologic changes in trauma patients and indications of damage control surgery. Nippon Geka Gakkai Zasshi, 2002, 103:507-510.?A
  • 10Vargo DJ, Battistella FD. Abbreviated thoracotomy and temporary chest closure: an application of damage control after thoracic trauma. Arch Surg, 2001, 136:21-24.?A

共引文献309

同被引文献158

引证文献15

二级引证文献88

中华创伤杂志
2006年 第10期

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