...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Injury >Analysis of two treatment modalities for the prevention of vomiting after trauma: Orogastric tube or anti-emetics
【24h】

Analysis of two treatment modalities for the prevention of vomiting after trauma: Orogastric tube or anti-emetics

机译：创伤后防止呕吐的两种治疗方式分析：愤怒管或抗急性

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

Abstract Introduction Vomiting in the emergency department after trauma occurs frequently and might lead to aspiration of gastric content. An orogastric tube (OGT) is a way to prevent emesis. However, this is an inconvenient procedure and may actually trigger vomiting. Therefore, a change in policy was applied from preferably an OGT to the administration of anti-emetics in a selected population. The aim of this study was to analyse the prevention of vomiting in trauma patients after OGT or anti-emetics. Materials and methods Retrospective cohort study. Data of all trauma patients presented at the crash room of the emergency department between July 1st 2013 and July 1st 2014 were collected from the local trauma registry and electronic patient documentation system and comprising 6 months preceding and 6 months after change of policy. Vomiting and nausea after trauma were recorded. Furthermore, complications such as aspiration and cardiac arrhythmias were documented. Results A total of 1446 patients were presented after trauma. 230 patients were promptly intubated. An additional 763 patients were fully responsive and did not complain of nausea. The remaining 453 patients were further analysed. 44 patients received OGT placement procedure and 409 patients received anti-emetics. Significant difference was found in patients vomiting after OGT placement or anti-emetics (20.5% vs. 2.7%; P 0.001). Patients who received anti-emetics were not more at risk for cardiac arrhythmias. After matched control analysis, there was still a significant difference was found. Discussion and conclusion Administration of anti-emetics is suitable and effective for the prevention of vomiting after trauma in this selected population, without an increased risk for complications. ]]>
机译：摘要在创伤经常发生后急诊部门呕吐，可能导致胃含量的愿望。蠕动的管（OGT）是一种防止呕吐的方法。但是，这是一个不方便的程序，实际上可能触发呕吐。因此，优选将政策的变化从优选地应用于所选人群中的抗丙酮。本研究的目的是分析OGT或抗媒体后创伤患者呕吐的预防。材料与方法回顾性队列研究。在2013年7月1日至2014年7月1日至7月1日至7月1日在当地创伤登记和电子患者文件系统中收集了所有创伤患者的数据，并在政策变更后6个月内包含6个月。创伤后呕吐和恶心。此外，记录了愿望和心律失常等并发症。结果创伤后共有1446名患者。 230名患者迅速插管。另外763名患者完全反应，并没有抱怨恶心。剩余的453名患者进一步分析。 44名患者接受OGT放置程序，409名患者接受抗急性。在OGT放置或抗液态学后呕吐的患者中发现了显着差异（20.5％与2.7％; p 0.001）。接受抗媒体的患者对心律失常的风险并不危险。在匹配的控制分析后，发现仍有显着差异。讨论和结论抗丙酮的施用适合，可有效预防创伤在此选定人群中的呕吐，而不会增加并发症的风险。 ]]>

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
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