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首页> 外文期刊>Journal of Emergencies, Trauma and Shock >Is Emergency Department Thoracotomy Effective in Trauma Resuscitation? The Retrospective Study of the Emergency Department Thoracotomy in Trauma Patients at Thammasat University Hospital, Thailand
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Is Emergency Department Thoracotomy Effective in Trauma Resuscitation? The Retrospective Study of the Emergency Department Thoracotomy in Trauma Patients at Thammasat University Hospital, Thailand

机译：急诊课是胸廓切开术，有效的创伤复苏吗？泰国泰国泰国创伤患者急诊部胸部胸廓切开术的回顾性研究

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Introduction: The survival rate after the emergency department thoracotomy (EDT) in trauma patients varies from the previous study as 1.6% in blunt injury and 11.2% in penetrating injury. Most of the data came from Europe, the US, South Africa, and Japan. This study aims to identify the success of EDT of trauma patients at Thammasat University Hospital, Thailand, and to evaluate the effectiveness of EDT. This study may be representative data for Southeast Asia. Materials and Methods: This retrospective review of 21 consecutive EDT cases which performed by our staffs and chief of general surgery residents between June 2009 and July 2016. Age, gender, injury mechanisms, injury sites, patient transport methods, initial vital signs, fluids and blood component requirements, resuscitation times, laboratory results, and injury severity scores were all analyzed. Results: Of the 21 EDT cases, one patient was excluded due to being a nontraumatic case. The remaining twenty patients were primarily young (mean 36.5 years), male (85%), suffering from blunt injuries (75%), of which 45% were predominantly thoracic injuries. Most of the patients presented without any sign of life (75%), and the total time for resuscitation was 43.5 ± 19.6 min. Seven patients (35%) had the return of spontaneous circulation (ROSC) and were successful in being brought to the operating room. Unfortunately, all patients passed away within 24 h of the operation. Conclusions: The ROSC rate of EDT in this study was 35%, but with no survival benefit. Therefore, we cannot guarantee that EDT serves as an effective life-saving procedure. However, EDT may play a significant role in treating extremis injured patients.
机译：介绍：在创伤患者中急诊系胸部胸部（EDT）后的存活率从之前的研究变化为1.6％的钝损伤，渗透损伤11.2％。大多数数据来自欧洲，美国，南非和日本。本研究旨在识别泰国泰国泰国泰国创伤患者EDT的成功，并评估EDT的有效性。本研究可能是东南亚的代表性数据。材料与方法：这次回顾性审查了我们2009年6月和2016年7月期间普通外科居民的21例连续EDT案件的回顾审查。年龄，性别，伤害机制，伤害部位，患者运输方法，初始生命体征，流体和液体血液成分要求，复苏时间，实验室结果和损伤严重程度分析。结果：21 EDT病例中，由于非创建案例，一名患者被排除在外。剩下的二十名患者主要是年轻（平均36.5岁），患有钝伤（75％）的男性（85％），其中45％主要是胸损伤。大多数患者没有任何生命迹象（75％），复苏总时间为43.5±19.6分钟。 7名患者（35％）有自发循环（ROSC）的返回，并成功地带到手术室。不幸的是，所有患者均在运营的24小时内通过。结论：本研究中EDT的ROSC率为35％，但没有生存效益。因此，我们无法保证EDT用作有效的挽救救生程序。然而，EDT可能在治疗极值受伤患者方面发挥重要作用。

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