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The Surgical clinics of North America最新文献

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Carcinoma of the esophagus. 食道癌。
Pub Date : 2020-02-10 DOI: 10.32388/c1f0m8
C. B. Puestow, J. Cross
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引用次数: 0
Reoperative abdominal surgery. 再手术腹部手术。
Pub Date : 2015-12-01 DOI: 10.1097/SLA.0000000000001072
M. Tabrizi
Certain complications that arise after initial abdominal operation require abdominal reoperation. As the casualty progresses rearward along the medical evacuation chain, medical personnel must be ever vigilant in the early recognition of these complications. The U.S. Air Force, with its aeromedical evacuation responsibility, has a special interest and great experience in the recognition and treatment of these complications. During the Vietnam conflict, one of every six casualties with abdominal wounds removed from the air evacuation system at Clark Air Force Base required reoperation. Because of the severity of their abdominal wounds and the high frequency of associated injuries, these patients frequently present confusing findings The indications for reoperation are often not well defined. To make matters even more difficult, these complica tions may not develop until the postoperative patient arrives at a higher echelon hospital and comes under the care of surgeons who were not involved in the primary operation. On occasion, the medical records accompanying these patients may lack sufficient detail regarding the injury and the details of the first operative procedure to be helpful in subsequent evaluation. Given these circumstances, the surgeon must rely heavily on past experience for guidelines in reoperation of abdominal war wounds. The inherent problems of making a preoperative diagnosis in the most difficult group of patients should not deter an aggressive approach. This philosophy will prove much more rewarding than procrastination. Practical points gained from such experience follow.
初次腹部手术后出现的某些并发症需要腹部再手术。随着伤员沿医疗后送链向后方发展,医务人员必须时刻保持警惕,及早发现这些并发症。美国空军承担着航空医疗后送的责任,在识别和治疗这些并发症方面有着特殊的兴趣和丰富的经验。在越南战争期间,克拉克空军基地(Clark air Force Base)的空中疏散系统中,每六名腹部受伤的伤员中就有一人需要重新操作。由于腹部创伤的严重程度和相关损伤的高频率,这些患者经常出现令人困惑的结果,再次手术的适应症往往不明确。让事情变得更加困难的是,这些并发症可能要到术后患者到达更高级别的医院,接受没有参与原发手术的外科医生的治疗时才会出现。有时,伴随这些患者的医疗记录可能缺乏足够的关于损伤的细节和第一次手术的细节,以帮助随后的评估。考虑到这些情况,外科医生必须在很大程度上依赖过去的经验来指导腹部战伤的再手术。在最困难的患者群体中进行术前诊断的固有问题不应阻止积极的方法。事实将证明,这种哲学比拖延症更有益。以下是从这些经验中获得的实用要点。
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引用次数: 1
Abdominal aortic aneurysm. 腹主动脉瘤。
Pub Date : 2011-12-22 DOI: 10.53347/rid-16155
S. Moore, G. Wantz
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引用次数: 0
Laparoscopic biliopancreatic diversion with duodenal switch. 十二指肠开关腹腔镜胆胰分流术。
Pub Date : 2002-06-01 DOI: 10.1007/978-0-387-68062-0_36
M. Gagner, R. Matteotti
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引用次数: 163
Effective and efficient nutritional support for the injured child. 为受伤儿童提供有效和高效的营养支持。
Pub Date : 2002-04-01 DOI: 10.1016/S0039-6109(02)00005-1
T. Jaksic
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引用次数: 13
The evolution and current status of emergency medical services for children. 儿童急救医疗服务的演变与现状。
Pub Date : 2002-04-01 DOI: 10.1016/S0039-6109(02)00004-X
J. Haller
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引用次数: 9
The psychological aspects of pediatric trauma: perspectives on patient, family, and provider. 儿童创伤的心理方面:从患者、家庭和提供者的角度。
Pub Date : 2002-04-01 DOI: 10.1016/S0039-6109(02)00013-0
Kamela K. Scott
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引用次数: 2
Practical aspects of performance improvement in pediatric trauma. 提高儿童创伤表现的实践方面。
Pub Date : 2002-04-01 DOI: 10.1016/S0039-6109(01)00002-0
P. Pieper, J. Tepas
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引用次数: 3
Imaging of the injured child: important questions answered quickly and correctly. 受伤儿童的影像:快速正确地回答重要问题。
Pub Date : 2002-04-01 DOI: 10.1016/S0039-6109(02)00012-9
D. Vane
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引用次数: 7
Error and time delay in pediatric trauma resuscitation: addressing the problem with color-coded resuscitation aids. 儿童创伤复苏中的错误和时间延迟:用颜色编码的复苏辅助设备解决问题。
Pub Date : 2002-04-01 DOI: 10.1016/S0039-6109(02)00007-5
R. Luten
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引用次数: 33
期刊
The Surgical clinics of North America
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