EMERGENCY CENTER THORACOTOMY - IMPACT OF PREHOSPITAL RESUSCITATION
EMERGENCY CENTER THORACOTOMY - IMPACT OF PREHOSPITAL RESUSCITATION
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DOI：
10.1097/00005373-199206000-00019
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发表时间：
1992-06-01
影响因子：
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通讯作者：
MATTOX, KL
中科院分区：
文献类型：
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作者：
DURHAM, LA;RICHARDSON, RJ;MATTOX, KL
从1984年到1989年，急诊中心对389例患者进行了开胸手术。没有患者被排除在研究之外，所有患者的生存率为8.3%，刺伤和枪伤的生存率分别为15.2%和7.3%。急诊中心开胸手术治疗42例孤立性胸外损伤患者，存活率为7%。本研究中无钝性创伤幸存者。百分之五十三的病人到达心肺复苏（CPR）正在进行中。幸存者的院前心肺复苏平均时间为5.1分钟，而非幸存者为9.1分钟。在存活者中，院前气管插管使CPR成功耐受时间延长至9.4分钟，而未插管存活者为4.2分钟（p < 0.001）。急诊中心开胸术对于因躯干穿透伤而死亡的病人的复苏是有用的。院前气管插管明显延长CPR成功时间。
Emergency center thoracotomy was performed at our facility on 389 patients from 1984 through 1989. There were no patients excluded from the study, and survival for all patients was 8.3% with survival rates of 15.2% and 7.3% for stab and gunshot wounds, respectively. Emergency center thoracotomy was performed on 42 patients suffering from isolated extrathoracic injuries with 7% survival. There were no survivors of blunt trauma in this study. Fifty-three percent of the patients arrived with cardiopulmonary resuscitation (CPR) in progress. The average time of prehospital CPR for survivors was 5.1 minutes compared with 9.1 minutes for nonsurvivors. Of the survivors, prehospital endotracheal intubation prolonged successful toleration of CPR to 9.4 minutes compared with 4.2 minutes for nonintubated surviving patients (p < 0.001). Emergency center thoracotomy is useful in the resuscitation of victims dying of penetrating truncal trauma. Prehospital endotracheal intubation significantly lengthened the time of successful CPR.