主动脉外压迫:为挽救产科大出血患者的生命争取时间。

IF 8.7 1区 医学 Q1 OBSTETRICS & GYNECOLOGY American journal of obstetrics and gynecology Pub Date : 2025-02-01 DOI:10.1016/j.ajog.2024.09.017
Albaro J. Nieto-Calvache MD , Jose M. Palacios-Jaraquemada MD, PhD , Rozi A. Aryananda MD , Nicolas Basanta MD , Nareswari Cininta MD , Luisa F. Rivera-Torres MD , Esperanza Bautista MD , Ahmed M. Hussein MD
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引用次数: 0

摘要

大多数产科出血导致的产妇死亡发生在资源有限的环境中。在基层医疗机构,立即控制产科出血的有效策略十分匮乏。人工体外压迫主动脉是一种简单的方法,只需经过基本培训,可持续使用长达 60 分钟,且不会对新陈代谢产生影响。它的有效性与正确的操作方法有关,因此本文包含了一些图表和视频,重点描述了压迫者的建议姿势,并强调了最常见的错误。如果只有一名训练有素的医护人员,或者患者需要转运,则可以选择膝部按压,以减少肌肉疲劳和手部按压无效的可能性。主动脉外按压不需要任何用品,可在几秒钟内完成,对暂时止住产科出血完全有效。虽然这种方法在医护人员中并不常见,而且会给患者带来痛苦,但它的优点证明将其纳入产后出血处理方案是正确的,尤其是在没有其他选择的情况下。
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External aortic compression: buying time to save lives in obstetric hemorrhage
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来源期刊
CiteScore
15.90
自引率
7.10%
发文量
2237
审稿时长
47 days
期刊介绍: The American Journal of Obstetrics and Gynecology, known as "The Gray Journal," covers the entire spectrum of Obstetrics and Gynecology. It aims to publish original research (clinical and translational), reviews, opinions, video clips, podcasts, and interviews that contribute to understanding health and disease and have the potential to impact the practice of women's healthcare. Focus Areas: Diagnosis, Treatment, Prediction, and Prevention: The journal focuses on research related to the diagnosis, treatment, prediction, and prevention of obstetrical and gynecological disorders. Biology of Reproduction: AJOG publishes work on the biology of reproduction, including studies on reproductive physiology and mechanisms of obstetrical and gynecological diseases. Content Types: Original Research: Clinical and translational research articles. Reviews: Comprehensive reviews providing insights into various aspects of obstetrics and gynecology. Opinions: Perspectives and opinions on important topics in the field. Multimedia Content: Video clips, podcasts, and interviews. Peer Review Process: All submissions undergo a rigorous peer review process to ensure quality and relevance to the field of obstetrics and gynecology.
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