法国的胸廓切开复苏术:为谁?由谁来做?

IF 2 4区 医学 Q2 SURGERY Journal of Visceral Surgery Pub Date : 2024-10-24 DOI:10.1016/j.jviscsurg.2024.10.004
Catherine Arvieux
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引用次数: 0

摘要

胸廓切开复苏术适用于胸廓穿透性损伤、血流动力学严重不稳定、无脉搏或心肺停搏最长达 15 分钟的患者。这种手术可以在急诊室进行,最好也可以在手术室进行。手术总是从左胸前外侧切口开始,然后通过横向双胸廓切口延长手术时间,或者根据假定的出血来源,通过胸骨正中切口延长手术时间。在大多数情况下,需要进行的手术相对简单,而当手术较为复杂时,可以在等待第二名外科医生协助的同时进行临时止血。我们认为,上述手术方法必须学习,并成为外科医生治疗创伤病人的重要手段。
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Resuscitative thoracotomy in France: For whom? By whom?

Resuscitative thoracotomy is preferentially addressed to patients with penetrating thoracic injury and suffering from severe treatment-resistant hemodynamic instability, without pulse or in cardiopulmonary arrest for at most 15minutes. It is practicable in an emergency room, or ideally, in an operating theater. The procedure always begins with left anterolateral thoracotomy and can be prolonged through transversal bi-thoracotomy or, more rarely and according to the presumed origin of the hemorrhage, through median sternotomy. In most cases the procedures to be carried out are relatively simple, and when they are more complex, it is possible to effectuate temporary hemostasis while awaiting the assistance of a second surgeon. We are persuaded that the above procedure should imperatively be learned and become part and parcel of the therapeutic arsenal of the surgeon tasked with management of trauma patients.

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来源期刊
CiteScore
2.00
自引率
9.50%
发文量
108
审稿时长
>12 weeks
期刊介绍: The Journal of Visceral Surgery (JVS) is the online-only, English version of the French Journal de Chirurgie Viscérale. The journal focuses on clinical research and continuing education, and publishes original and review articles related to general surgery, as well as press reviews of recently published major international works. High-quality illustrations of surgical techniques, images and videos serve as support for clinical evaluation and practice optimization. JVS is indexed in the main international databases (including Medline) and is accessible worldwide through ScienceDirect and ClinicalKey.
期刊最新文献
Left hepatectomy extended to segments 1, 5 and 8 with reconstruction of the right branch of the hepatic artery for Rennes type X perihilar cholangiocarcinoma. Neuroendocrine tumor arising inside a tailgut cyst. Resuscitative thoracotomy in France: For whom? By whom? Risk factors for local recurrence of rectal cancer after curative surgery: A single-center retrospective study. Re : "Traumatic diaphragmatic wound repair".
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