...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Journal of trauma >Thirty consecutive uses of a hemostatic bandage at a US Army combat support hospital and forward surgical team in Operation Iraqi Freedom.
【24h】

Thirty consecutive uses of a hemostatic bandage at a US Army combat support hospital and forward surgical team in Operation Iraqi Freedom.

机译：在“伊拉克自由行动”中，美军作战支援医院和前锋外科小组连续30次使用止血绷带。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Topical hemostatic agents have generated intense research interest in recent years, prompted in part by the demands of wartime medicine. Numerous animal studies demonstrate variable degrees of efficacy of a variety of agents; however, little clinical data are available in severely traumatized patients. This report describes 30 consecutive uses of the modified rapid deployment hemostat (MRDH) during combat operations in Operation Iraqi Freedom. METHODS: In a prospective observational fashion, traumatized patients presenting to a combat support hospital or a forward surgical team with difficult to control hemorrhage (due to anatomy, limited resources, or tactical environment) had the MRDH applied to severely bleeding wounds. Basic demographics, wounding mechanism, wound characteristics, circumstances, and efficacy were recorded. Presence of a clinical coagulopathy was also noted. RESULTS: Thirty hemostatic bandages were applied to 19 patients with a wide variety of wounds. All but one application occurred in the operating room. The demographics were mean age 27 years (range, 9-55 years), 95% male, 68% penetrating or fragmentation, and four casualties had a clinical coagulopathy. Hemostasis was achieved following application of the hemostatic agent in 16 of 19 wounds. Rebleeding occurred upon removal in three cases. In all cases, the patient failed conventional interventions at hemostasis before the hemostat was applied. CONCLUSIONS: This is the single largest description of the clinical efficacy of the MRDH and the first description during combat operations. The MRDH bandage was an effective hemostat for temporarily controlling hemorrhage in difficult circumstances. Caution should be exercised when removing the dressing as rebleeding may occur.
机译：背景：局部止血剂近年来引起了广泛的研究兴趣，部分是由于战时医学的需求。大量的动物研究表明，多种药物的功效不同。但是，严重创伤患者的临床资料很少。该报告描述了在“伊拉克自由行动”中的战斗行动中，连续30次使用改良的快速部署止血器（MRDH）。方法：以前瞻性观察的方式，就诊于战斗支持医院或前瞻性手术团队且因出血难以控制（由于解剖，资源有限或战术环境原因）而受创伤的患者，将MRDH应用于严重出血的伤口。记录基本的人口统计资料，伤口机制，伤口特征，情况和功效。还注意到存在临床凝血病。结果：30止血绷带被应用于19例各种各样的伤口。除了一项申请外，所有申请均在手术室进行。人口统计学特征是平均年龄27岁（范围9-55岁），男性95％，穿透或破碎为68％，四名患者患有临床凝血病。在19个伤口中的16个伤口中使用了止血剂后达到了止血效果。移走后发生再出血3例。在所有情况下，患者在应用止血剂之前止血常规干预均失败。结论：这是对MRDH的临床疗效的最大描述，也是对战斗操作的第一个描述。 MRDH绷带是在困难情况下暂时控制出血的有效止血药。取下敷料时应小心，因为可能会再出血。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号