[Prevention strategies for traumatic cardiac arrest].
[Prevention strategies for traumatic cardiac arrest].
复制标题
DOI：
10.3760/cma.j.cn121430-20200122-00093
复制
发表时间：
2020-04-01
影响因子：
--
通讯作者：
Wang, Lixiang
中科院分区：
文献类型：
--
作者：
Jiang, Duyin;Zhao, Jie;Wang, Lixiang
创伤性心脏骤停（TCA）病死率极高，复苏策略与非创伤性心脏骤停（NTCA）有很大不同。只有当标准的复苏过程与各种可逆原因的快速治疗相结合时，才能降低患者的死亡率。本文综述了导致TCA的关键因素，如低血容量性休克、窒息、张力性气胸、心包填塞、挤压综合征、颅脑损伤、脑疝等，并分别阐述了控制措施，以期为临床救治严重创伤患者提供参考，降低TCA的发生率和死亡率。
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.