重视战、创(烧)伤休克现场非常规救治技术研究
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摘要
<正>在战争或突发事故及灾害(如森林火灾、地震、恐怖袭击)现场,短时间内常出现批量休克伤员,但由于环境恶劣、交通破坏、缺乏后送条件、医疗资源匮乏,夜间无照明条件等困难,以致常规抗休克手段(如输血、输液)难以实施或延迟实施,因而将导致阵亡率、伤死率或并发症发生率增高。因此,研究在此类恶劣条件下休克的救治技术和措施具有十分重要的意义。
引文
[1]胡森,盛志勇.口服补液——战争或突发事故及灾害时救治烧伤休克的液体复苏途径[J].解放军医学杂志,2008,33(6):635-636.
[2]Cancio LC,Kramer GC,Hoskins SL.Gastrointestinal fluid resuscitation of thermally injured patients[J].J Burn Care Res,2006,27(5):561-569.
[3]Cash RA,Forrest JN,Nalin DR,et al.Rapid correction of acidosis and dehydration of cholera with oral electrolyte and glucose solution[J].Lancet,1970,2(4):549-500.
[4]Michell MW,Oliveira HM,Kinsky MP,eta l.Enteral resuscitation of burn shock using World Health Organization oral rehydration solution:apoten-tial solution for mass casualty care[J].J Burn Care Res,2006,27(6):819-825.
[5]胡森,车晋伟,王海滨,等.早期口服补液对50%体表面积烧伤犬休克期脏器功能和病死率的影响[J].中华医学杂志,2008,88(44):3149-3152.
[6]胡森,车晋伟,杜颖,等.早期口服补液对50%体表面积烧伤休克期血流动力学和组织灌流的影响[J].中华外科杂志,2009,47(19):1499-1502.
[7]胡森,车晋伟,杜颖,等.卡巴胆碱对烧伤犬肠内补液时肠黏膜血流量和吸收效率的影响[J].中国危重病急救医学,2008,20(3):167-171.
[8]胡森,车晋伟,包呈梅,等.维生素C减轻烧伤休克犬口服补液时内脏脂质过氧化损伤[J].中华医学杂志,2009,89(33):2364-2367.
[9]胡泉,胡森,柴家科,等.肠内输入高渗电解质葡萄糖液对犬35%体表面积烧伤复苏效果的研究[J].中华外科杂志,2009,47(20):1581-1584.
[10]苏迅,王莹,任兴华,等.骨髓腔内输液技术在战创伤急救中应用的可行性[J].解放军护理杂志,2009,26(3B):35-36.
[11]Josefson A.A new method of treatment:intraosseous injections[J].Acata Med Scand,1934,81:550-564.
[12]Sauyer RW,Bodai BT,Blaisdell FW,et al.The current status of intraosseous infusion[J].J Am Coll Surg,1994,179(3):353-360.
[13]O'connor.Intraosseous vascular access in the out of hospital setting position statement of the national associtation of emsphysicians[J].Prehospital Emerg Care,2007,11(1):62.
[14]Lavis M,Vaghela A,Tozer C.Adult intraosseous infusion in accident and emergency departments in the UK[J].J Accid Emerg Med,2000,17(1):29-32.
[15]Calkins MD,Fitzgerald G,Bentley TB,et al.Intraosseous infusion devices:a comparision for potential use in special operation[J].J Trauma,2000,48(67):1067-1074.
[16]Reynolds PS,Barbee RW,Ward KR.Arginine vasopressin:apromising rescue drug in the treatment of uncontrolled hemorrhagic shock.Best Pract Res Clin Anaesthesiol,2008,22(2):299-316.
[17]刘先奇,白晓东,胡森.组蛋白去乙酰化酶抑制剂抗休克的研究进展[J].感染、炎症、修复,2010,11(3):191-192.
[18]Gonzales ER,Chen H,Munuve RM,eta l.Valproic acid prevents hemorrhage associated lethality and affects the acetylation pattern of cardiac histones[J].Shock,2006,25(4):395-401.
[19]胡森,侯经元,李琳,等.无静脉补液时丙戊酸钠对致死性失血性休克犬平均动脉压和死亡率的影响[J].感染、炎症、修复,2010,11(2):67-70.
[20]胡森,周国勇,白慧颖,等.组蛋白去乙酰化酶抑制剂对50%总体表面积烫伤大鼠存活率和脏器功能的影响[J].感染、炎症、修复,2010,11(3):133-136.
[21]Shults C,Sailhamer EA,Li YQ,et al.Surviving blood loss without fluid resuscitation[J].Trauma,2008,64(3):629-640.
[22]Sinn DI,Kim SJ,Chu K,eta l.Valproic acid-mediated neuroprotection in intracerebral hemorrhage viahistone deacetylase inhibition and transcriptional activation[J].Neurobiol Dis,2007,26(2):464-472.
[23]Li Y,Yuan Z,Liu B,et al.Cell protection mechanism of valproic acid in lethal hemorrhagic shock[J].Surgery,2008,144(2):217-224.
[24]Uji Y,Yamamoto H,Mori T,et al.Edaravone improves the survival of rats subjected to hemorrhagic shock without resuscitation[J].Surg Today,2008,38(5):476-477.
[25]Michael AD,Chad W,Geir IE,et al.High-dose vitamin C infusion reduces fluid requirements in the resuscitation of burn-injured sheep[J].Shock,2005,24(2):139-144.
[2]Cancio LC,Kramer GC,Hoskins SL.Gastrointestinal fluid resuscitation of thermally injured patients[J].J Burn Care Res,2006,27(5):561-569.
[3]Cash RA,Forrest JN,Nalin DR,et al.Rapid correction of acidosis and dehydration of cholera with oral electrolyte and glucose solution[J].Lancet,1970,2(4):549-500.
[4]Michell MW,Oliveira HM,Kinsky MP,eta l.Enteral resuscitation of burn shock using World Health Organization oral rehydration solution:apoten-tial solution for mass casualty care[J].J Burn Care Res,2006,27(6):819-825.
[5]胡森,车晋伟,王海滨,等.早期口服补液对50%体表面积烧伤犬休克期脏器功能和病死率的影响[J].中华医学杂志,2008,88(44):3149-3152.
[6]胡森,车晋伟,杜颖,等.早期口服补液对50%体表面积烧伤休克期血流动力学和组织灌流的影响[J].中华外科杂志,2009,47(19):1499-1502.
[7]胡森,车晋伟,杜颖,等.卡巴胆碱对烧伤犬肠内补液时肠黏膜血流量和吸收效率的影响[J].中国危重病急救医学,2008,20(3):167-171.
[8]胡森,车晋伟,包呈梅,等.维生素C减轻烧伤休克犬口服补液时内脏脂质过氧化损伤[J].中华医学杂志,2009,89(33):2364-2367.
[9]胡泉,胡森,柴家科,等.肠内输入高渗电解质葡萄糖液对犬35%体表面积烧伤复苏效果的研究[J].中华外科杂志,2009,47(20):1581-1584.
[10]苏迅,王莹,任兴华,等.骨髓腔内输液技术在战创伤急救中应用的可行性[J].解放军护理杂志,2009,26(3B):35-36.
[11]Josefson A.A new method of treatment:intraosseous injections[J].Acata Med Scand,1934,81:550-564.
[12]Sauyer RW,Bodai BT,Blaisdell FW,et al.The current status of intraosseous infusion[J].J Am Coll Surg,1994,179(3):353-360.
[13]O'connor.Intraosseous vascular access in the out of hospital setting position statement of the national associtation of emsphysicians[J].Prehospital Emerg Care,2007,11(1):62.
[14]Lavis M,Vaghela A,Tozer C.Adult intraosseous infusion in accident and emergency departments in the UK[J].J Accid Emerg Med,2000,17(1):29-32.
[15]Calkins MD,Fitzgerald G,Bentley TB,et al.Intraosseous infusion devices:a comparision for potential use in special operation[J].J Trauma,2000,48(67):1067-1074.
[16]Reynolds PS,Barbee RW,Ward KR.Arginine vasopressin:apromising rescue drug in the treatment of uncontrolled hemorrhagic shock.Best Pract Res Clin Anaesthesiol,2008,22(2):299-316.
[17]刘先奇,白晓东,胡森.组蛋白去乙酰化酶抑制剂抗休克的研究进展[J].感染、炎症、修复,2010,11(3):191-192.
[18]Gonzales ER,Chen H,Munuve RM,eta l.Valproic acid prevents hemorrhage associated lethality and affects the acetylation pattern of cardiac histones[J].Shock,2006,25(4):395-401.
[19]胡森,侯经元,李琳,等.无静脉补液时丙戊酸钠对致死性失血性休克犬平均动脉压和死亡率的影响[J].感染、炎症、修复,2010,11(2):67-70.
[20]胡森,周国勇,白慧颖,等.组蛋白去乙酰化酶抑制剂对50%总体表面积烫伤大鼠存活率和脏器功能的影响[J].感染、炎症、修复,2010,11(3):133-136.
[21]Shults C,Sailhamer EA,Li YQ,et al.Surviving blood loss without fluid resuscitation[J].Trauma,2008,64(3):629-640.
[22]Sinn DI,Kim SJ,Chu K,eta l.Valproic acid-mediated neuroprotection in intracerebral hemorrhage viahistone deacetylase inhibition and transcriptional activation[J].Neurobiol Dis,2007,26(2):464-472.
[23]Li Y,Yuan Z,Liu B,et al.Cell protection mechanism of valproic acid in lethal hemorrhagic shock[J].Surgery,2008,144(2):217-224.
[24]Uji Y,Yamamoto H,Mori T,et al.Edaravone improves the survival of rats subjected to hemorrhagic shock without resuscitation[J].Surg Today,2008,38(5):476-477.
[25]Michael AD,Chad W,Geir IE,et al.High-dose vitamin C infusion reduces fluid requirements in the resuscitation of burn-injured sheep[J].Shock,2005,24(2):139-144.
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