Noncompressible Torso Hemorrhage A Review with Contemporary Definitions and Management Strategies

被引：141

作者：

Morrison, Jonathan J. ^{[1
,2
]}

Rasmussen, Todd E. ^{[1
,3
,4
]}

机构：

[1] USA, Inst Surg Res, Ft Sam Houston, TX 78234 USA

[2] Royal Ctr Def Med, Acad Dept Mil Surg & Trauma, Birmingham B15 2SQ, W Midlands, England

[3] USAF, Med Serv, Sci & Technol Sect, Lackland AFB, TX 78236 USA

[4] Uniformed Serv Univ Hlth Sci, Norman M Rich Dept Surg, Bethesda, MD 20814 USA

来源：

SURGICAL CLINICS OF NORTH AMERICA | 2012年 / 92卷 / 04期

关键词：

Noncompressible torso hemorrhage; Trauma surgery; Military surgery; Damage-control surgery; Damage-control resuscitation; DAMAGE CONTROL LAPAROTOMY; EMERGENCY-DEPARTMENT THORACOTOMY; ENDOVASCULAR BALLOON OCCLUSION; CONTROL RESUSCITATION; AORTIC OCCLUSION; PORCINE MODEL; SURVIVAL; TRAUMA; SUPPORT; MORTALITY;

D O I：

10.1016/j.suc.2012.05.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Trauma resulting in hemorrhage from vascular disruption within the torso is a challenging scenario, with a propensity to be lethal in the first hour following trauma. The term noncompressible torso hemorrhage (NCTH) was only recently coined as part of contemporary studies describing the epidemiology of wounding during the wars in Afghanistan and Iraq. This article provides a contemporary review of NCTH, including a unifying definition to promote future study as well as a description of resuscitative and operative management strategies to be used in this setting, and sets a course for research to improve mortality following this vexing injury pattern.

引用

页码：843 / +

页数：17

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