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首页> 外文期刊>Current opinion in anaesthesiology >Trauma resuscitation: what have we learned in the last 50 years?
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Trauma resuscitation: what have we learned in the last 50 years?

机译：创伤复苏：过去50年来我们学到了什么？

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摘要

During the past 50 years, i.e. during and since World War II, we have learned much theory about the pathophysiological mechanisms of traumatic hemorrhagic shock, analgesia, anesthesia, cytokine reactions, coagulo-pathy, wound infection, sepsis, wound healing, and neuropathophysiology concerning cardiac arrest and severe traumatic brain injury (TBI). We have learned that blood volume and oxygen delivery are more important than the type of resuscitation fluid. All of the foregoing represent much progress of scientific importance. Resuscitation methods have been given new technological advances for airway control, vessel access, and fluid resuscitation. These technological additions represent some progress of clinical importance. Still lacking are breakthroughs that would significantly increase the rates of intact survival among trauma patients, which would be progress of socioeconomic importance. In terms of decreasing the total number of deaths from injuries, prevention has been critical. The use of seat belts, air bags, helmets for motorcycle and bicycle use, and restraining seats for children have had important positive effects. In the United States, how ever, the programmes aimed at gun control and substance abuse are still inadequate.
机译：在过去的50年中，即在第二次世界大战期间和第二次世界大战以来，我们已经了解了很多有关创伤性休克，镇痛，麻醉，细胞因子反应，凝血病，伤口感染，败血症，伤口愈合以及神经病理生理学的病理生理机制的理论。心脏骤停和严重的脑外伤（TBI）。我们已经了解到，血容量和氧气输送比复苏液的类型更为重要。以上所有内容都代表了科学上的重大进步。复苏方法已为气道控制，血管通路和液体复苏提供了新的技术进步。这些技术添加代表了一些临床重要性的进步。仍缺乏突破，这些突破将大大提高创伤患者的完整生存率，这将是具有社会经济意义的进步。就减少因伤害死亡的总数而言，预防至关重要。使用安全带，安全气囊，摩托车和自行车头盔以及儿童约束座椅具有重要的积极作用。然而，在美国，针对枪支管制和药物滥用的计划仍然不足。

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