创伤性心搏骤停预防策略  

Prevention strategies for traumatic cardiac arrest

作　　者：姜笃银[1] 赵洁[1] 王兴蕾[1] 邵明举[1] 巩会平[1] 周飞虎[2] 刘亚华[3] 王立祥[3] Jiang Duyin;Zhao Jie;Wang Xinglei;Shao Mingju;Gong Huiping;Zhou Feihu;Liu Yahua;Wang Lixiang(Department of Emergency,the Second Hospital of Shandong University,Jinan 250033,Shandong,China;Department of Critical Care Medicine,Chinese People's Liberation Army General Hospital,Beijing 100853,China;Department of Emergency,the Third Medical Centre,Chinese People's Liberation Army General Hospital,Beijing 100039,China)

机构地区：[1]山东大学第二医院急诊医学中心,济南250033 [2]解放军总医院重症医学科,北京100853 [3]解放军总医院第三医学中心急诊科,北京100039

出　　处：《中华危重病急救医学》2020年第4期508-512,共5页Chinese Critical Care Medicine

基　　金：国家自然科学基金(81873934);解放军总医院军事医学科研项目(CX19021);山东省济南市科技创新计划项目(201704129)。

摘　　要：创伤性心搏骤停(TCA)的病死率极高,且与非创伤性心搏骤停(NTCA)在复苏策略上有很大的不同,只有在标准复苏流程的同时快速处理各种可逆病因,才能够最大限度地降低患者的病死率。本文通过对低血容量性休克、窒息、张力性气胸、心包填塞、挤压综合征、颅脑损伤和脑疝这几个导致TCA的关键因素进行综述,并对其管控措施进行阐述,以期为TCA的预防提供可行的策略,为临床救治严重创伤患者、降低TCA的发生率和病死率提供参考。The fatality rate of traumatic cardiac arrest(TCA)is extremely high,and it is very different from that of non-traumatic cardiac arrest(NTCA)in resuscitation strategy.Only when the standard resuscitation process is combined with rapid treatment of various reversible causes can the mortality rate of patients be decreased.In this paper,the key factors leading to TCA are reviewed,such as hypovolemic shock,asphyxia,tension pneumothorax,pericardial tamponade,crush syndrome,craniocerebral injury,cerebral hernia,and the control measures are elaborated respectively,so as to provide references for clinical treatment of patients with severe trauma,and reduce TCA incidence and mortality.

关 键 词：创伤 心搏骤停 预防策略 

分 类 号：R605.971[医药卫生—急诊医学]