平民创伤中与院前上肢止血带相关的发病率：病例系列。

IF 0.9 4区医学 Q4 ORTHOPEDICS Hand Surgery & Rehabilitation Pub Date : 2024-10-01 DOI:10.1016/j.hansur.2024.101752

Hanna Jazottes , Michel Chammas , Cyril Lazerges , Bertrand Coulet , Jonathan Charbit , Pierre-Emmanuel Chammas

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引用次数: 0

摘要

导言：院前止血带的广泛使用，尤其是在上肢的使用，引发了相关发病率的问题：方法：对 9 名患者进行了回顾性分析，从影响康复的并发症角度分析院前使用止血带的情况：结果：出现了严重的并发症：一名患者出现肌皮神经麻痹，另一名患者出现室间隔综合征、横纹肌溶解和缺血再灌注综合征。此外，有 2 名患者被怀疑在术后感染中使用院前止血带时间过长：讨论：在院前环境中对上肢使用止血带的风险效益比和适应症需要重新考虑。

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Morbidity associated with pre-hospital upper-limb tourniquet in civilian trauma: a case series

Introduction

The widespread pre-hospital use of tourniquets, particularly in the upper limb, raises questions about associated morbidity, which has been little studied and may have serious consequences for functional prognosis.

Methods

A review of 9 patients was carried out, analyzing pre-hospital tourniquet use in terms of complications affecting recovery.

Results

There were serious complications: musculocutaneous nerve palsy in 1 patient, and compartment syndrome, rhabdomyolysis and ischemia-reperfusion syndrome in another. A role of prolonged pre-hospital tourniquet application in postoperative infection was also suspected in 2 patients.

Discussion

The risk-benefit ratio and indications for using a tourniquet on the upper limb in the pre-hospital setting need to be reconsidered.

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.

期刊最新文献

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