| 多发伤的紧急伤情评估策略 |
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| 引用本文： | 张连阳.多发伤的紧急伤情评估策略[J].创伤外科杂志,2010,12(1):1-3. |
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| 作者姓名： | 张连阳 |
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| 作者单位： | 第三军医大学大坪医院野战外科研究所全军战创伤中心,创伤、烧伤与复合伤国家重点实验室,重庆,400042 |
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| 基金项目： | 全军医学卫生科研基金专项课题(08Z024) |
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| 摘 要： | 多发伤诊断包括损伤诊断、损伤并发症诊断和并存疾病诊断,其中损伤诊断遗漏指入院24小时后发现并导致不良后果的损伤,发生率2%~40%1]。导致漏诊的因素主要有医师缺乏整体观念、影像学误导、忽视隐蔽损伤、缺乏损伤机制认识,以及伤情危重、意识障碍、致伤机制和病史不详等因素。多发伤紧急伤情评估策略包括根据致伤机制评估,合理应用影像学技术精确评估,按照CRASH PLAN程序系统(C=circulation循环,R=respiratory呼吸,A=abdomen腹部,S=spine脊柱,H=head头颅,P=pelvis骨盆,L=limbs四肢,A=arteries and veins动静脉,N=nerves神经)评估,复苏无效时重点评估,以及动态、反复评估。
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| 关 键 词： | 多发伤 伤情评估 诊断 |
Emergent evaluation strategy of polytrauma |
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| ZHANG Lian-yang.Emergent evaluation strategy of polytrauma[J].Journal of Traumatic Surgery,2010,12(1):1-3. |
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| Authors: | ZHANG Lian-yang |
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| Institution: | State Key Laboratory of Trauma;Burns and Combined Injury;Trauma Center of PLA;Institute of Surgery Research;Daping Hospital;Third Military Medical University;Chongqing 400042;China |
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| Abstract: | The diagnoses of polytrauma include injury diagnosis,injury complication diagnosis,and associated disease diagnosis.The missed diagnosis of injury is that injury is found 24 hours after admitting into hospital and results in worse consequence,and the rates of missed diagnosis is 2%~40%.The reasons of missed diagnosis include doctors lacking recognition of integrated concept,misleading by imageology,neglecting hidden injuries,severe trauma and loss of consciousness,and so on.Emergent evaluation strategies of... |
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| Keywords: | polytrauma injury evaluation diagnosis |
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