ПОЛИТРАВМА: ВСЕ ТАК ЗНАКОМО И ТАК НЕОДНОЗНАЧНО, ОТ ДЕФИНИЦИИ И ОЦЕНКИ СТЕПЕНИ ТЯЖЕСТИ ДО ИНТЕНСИВНОЙ ТЕРАПИИ ШОКА
Аннотация
Рассмотрена важная проблема здравоохранения и неотложной медицины – политравма. Изучены вопросы терминологии. В очередной раз обращено внимание на своевременную диагностику геморрагического шока у пациентов с политравмой. С учетом вышеописанного очевидна актуальность унификации, доработки или даже создание более удобной шкалы оценки степени тяжести травм, на основе выявленных недостатков существующих шкал. Отмечена важность разработки действенной модели для прогнозирования необходимости гемотрансфузии у травмированных больных, унифицированной как для догоспитального уровня, так и для отделений интенсивной терапии и хирургического профиля различного уровня оказания помощи.
Литература
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2. World Health Organization. Road traffic injuries. Fact sheet № 358. URL: http://www.who.int/mediacentre/factsheets/fs358/en/ (accessed March 2013).
3. Thomas A. Gennarelli, Elaine Wodzin. The Abbreviated Injury Scale 2005. Update 2008. American Association for the Advancement of Automotive Medicine (AAAM): Des Plaines, IL 2008
4. Baker S.P., O'Neill B., Haddon W.J., Long W.B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J. Trauma. 1974;14:187-196.
5. Tscherne H., Oestern H.J., Sturm J.A. Stress tolerance of patients with multiple injuries and its significance for operative care. Langenbecks Arch. Chir. 1984; 364:71-77.
6. Butcher N.E., Enninghorst N., Sisak K., Balogh Z.J. The definition of polytrauma: variable interrater versus intrarater agreement – a prospective international study among trauma surgeons. J. Trauma Acute Care Surg. 2013; 74:884-889.
7. Butcher N., Balogh Z. J. The definition of polytrauma: the need for international consensus. Injury. 2009; 40: S12-22.
8. McLain R. F, Benson D. R. Urgent surgical stabilization of spinal fractures in polytrauma patients. Spine (Phila Pa 1976). 1999; 24:.1646-1654.
9. Blacker D. J, Wijdicks E. F. Clinical characteristics and mechanisms of stroke after polytrauma. Mayo Clin. Proc. 2004; 79:.630-635.
10. Pape H. C, Zelle B., Lohse R., Stalp M , Hildebrand F., Krettek C., Panzica M., Duhme V., Sittaro N. A. Evaluation and outcome of patients after polytrauma – can patients be recruited for long-term follow-up? Injury. 2006; 37: 1197-1203.
11. Dick W. F, Baskett P. J. Recommendations for uniform reporting of data following major trauma-the Utstein style. A report of a working party of the International Trauma Anaesthesia and Critical Care Society (ITACCS). Resuscitation. 1999; 42: 81-100.
12. Schalamon J., v Bismarck S , Schober P. H, Hollwarth M. E. Multiple trauma in pediatric patients. Pediatr. Surg. Int. 2003; 19: 417-423.
13. Zelle B. A., Brown S. R., Panzica M., Lohse R., Sittaro N. A., Krettek C., Pape H. C. The impact of injuries below the knee joint on the long-term functional outcome following polytrauma. Injury. 2005; 36: 169-177.
14. Pape H. C., Remmers D., Rice J., Ebisch M., Krettek C., Tscherne H. Appraisal of early evaluation of blunt chest trauma: development of a standardized scoring system for initial clinical decision making. J. Trauma. 2000; 49: 496-504.
15. Sikand M., Williams K., White C., Moran C. G. The financial cost of treating polytrauma: implications for tertiary referral centres in the United Kingdom. Injury. 2005; 36: 733-737.
16. Stürmer K. M., Dresnig K., Blauth M., Bonnaire F., Braun W., Meenen N. M. Recommended Guidelines for Diagnostics and Therapy in Trauma Surgery. Eur. J. Trauma Emerg. Surg. 2001; 27: 137-150.
17. Pape H. C., Lefering R., Butcher N. et al. The definition of polytrauma revisited: An international consensus process and proposal of the new 'Berlin definition'. Trauma Acute Care Surg. 2014;77:780-6 J
18. Paffrath T., Lefering R., Flohé S. How to define severely injured patients? – an Injury Severity Score (ISS) based approach alone is not sufficient. Injury. 2014; 45: S 64-69.
19. Pape H. C, Lefering R., Butcher N. et al. The definition of polytrauma revisited: An international consensus process and proposal of the new 'Berlin definition'. J. Trauma Acute Care Surg. 2014; 77: 780-786.
20. Butcher N. E., Balogh Z. J. The practicality of including the systemic inflammatory response syndrome in the definition of polytrauma: experience of a level one trauma centre. Injury. 2013;.44:.12-17.
21. Bouillon B., Lefering R., Vorweg M et al. Trauma score systems: cologne validation study. J. Trauma. 1997; 42: 652-658.
22. Oestern H. J, Tscherne H., Sturm J., Nerlich M. Classification of the severity of injury. Unfallchirurg. 1985; 88: 465-472.
23. Schweiberer L., Nast-Kolb D., Duswald K. H., Waydhas C., Müller K. Polytrauma treatment by the staged diagnostic and therapeutic plan. Unfallchirurg. 1987; 90: 529-538.
24. Champion H. R., Copes W. S., Sacco W. J. et al. The Major Trauma Outcome Study: establishing national norms for trauma care. Trauma. 1990; 30: 1356-1365.
25. Trauma Register DGU: Annual Report 2015. URL: http://www.traumaregister-dgu. de/fileadmin/user_upload/traumaregister-dgu.de/docs/Downloads/TR.
26. McLain R. F., Benson D. R. Urgent surgical stabilization of spinal fractures in polytrauma patients. Spine . 1999; 24: 1646-1654.
27. Kauvar D.S., Wade C. E. The epidemiology and modern management of traumatic hemorrhage: US and international perspectives. Crit. Care. 2005; 9(Suppl 5): S1-9.
28. Dutton R. P., Stansbury L. G., Leone S et al. Trauma mortality in mature trauma systems: are we doing better? An analysis of trauma mortality patterns, 1997-2008. J. Trauma. 2010; 69: 620-626.
29. Teixeira P.G.R., Inaba K., Hadjizacharia P. et al. Preventable or potentially preventable mortality at a mature trauma center. J. Trauma. 2007; 63: 1338-1346.
30. Kauvar D. S., Lefering R., Wade C. E. Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations. J. Trauma. 2006; 60:.S3-11.
31. Gerardo C. J., Glickman S. W., Vaslef S. N. et al. The rapid impact on mortality rates of a dedicated care team including trauma and emergency physicians at an academic medical center. J. Emerg. Med. 2011; 40: 586-591.
32. Cotton B. A., Gunter O. L., Isbell J. et al. Damage control hematology: the impact of a trauma exsanguination protocol on survival and blood product utilization. J. Trauma. 2008; 64: 1177-1182-1183.
33. van der Wulp I, van Baar M. E., Schrijvers A. J. P. Reliability and validity of the Manchester Triage System in a general emergency department patient population in the Netherlands: results of a simulation study. Emerg. Med. J. 2008; 25: 431-434.
34. Brown J. B., Lerner E. B., Sperry J. L. et al. Prehospital lactate improves accuracy of prehospital criteria for designating trauma activation level. J. Trauma Acute Care Surg. 2016; 81: 445-452.
35. Sartorius D., Le Manach .Y, David J-S. et al. Mechanism, glasgow coma scale, age, and arterial pressure (MGAP): a new simple prehospital triage score to predict mortality in trauma patients. Cri.t Care Med. 2010; 38:.831-837.
36. Raux M., Sartorius D., Le Manach Y. et al. What do prehospital trauma scores predict besides mortality? J. Trauma Acute Care Surg. 2011; 71: 754-759.
37. Yücel N., Lefering R., Maegele M. et al. Trauma Associated Severe Hemorrhage (TASH)-Score: probability of mass transfusion as surrogate for life threatening hemorrhage after multiple trauma. J. Trauma. 2006; 60: 1228-1236.
38. McLaughlin D. F., Niles S. E., Salinas J. et al. A predictive model for massive transfusion in combat casualty patients. J. Trauma. 2008; 64: S57-63.
39. Nunez T. C., Voskresensky I. V., Dossett L. A. et al. Early prediction of massive transfusion in trauma: simple as ABC (assessment of blood consumption)? J. Trauma. 2009; 66: 346-352.
40. Brockamp T., Nienaber U., Mutschler M. et al. Predicting on-going hemorrhage and transfusion requirement after severe trauma: a validation of six scoring systems and algorithms on the TraumaRegister DGU. Crit. Care. 2012; 16: R129.
41. Hamada S. R., MD, Gauss T., Duchateau F.-X. et al. Development and validation of a prehospital “Red Flag” alert for activation of intra-hospital haemorrhage control response in blunt trauma. Critical Care. 2018. 22 (1) :11. Doi:10.1186/s13054-018-2026-9.
42. Weaver A. E., Hunter-Dunn C., Lyon R. M. et al. The effectiveness of a “Code Red” transfusion request policy initiated by pre-hospital physicians. Injury. 2016; 47: 3-6.
43. Reed M. J., Glover A., Byrne L. et al. Experience of implementing a national pre-hospital Code Red bleeding protocol in Scotland. Injury. 2017; 48(1): 41-46.
44. Khan S., Allard S., Weaver A. et al. A major haemorrhage protocol improves the delivery of blood component therapy and reduces waste in trauma massive transfusion. Injury. 2013; 44: 587-592.
45. Sanchis-Gomar F., Cortell-Ballester J., Pareja-Galeano H. et al. Hemoglobin point-of-care testing: the HemoCue system. J. Lab. Autom. 2013; 18: 198-205.
46. Mutschler M., Nienaber U., Münzberg M. et al. The Shock Index revisited—a fast guide to transfusion requirement? A retrospective analysis on 21,853 patients derived from the TraumaRegister DGU®. Crit. Care. 2013; 17: R172.
47. Kimura A., Nakahara S., Chadbunchachai W. The development of simple survival prediction models for blunt trauma victims treated at Asian emergency centers. Scandn. J. Trauma Resusc. Emergy Med. 2012; 20:9.
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Опубликована
2018-06-24
Как цитировать
КОЛЕСНИКОВ, А. Н. et al.
ПОЛИТРАВМА: ВСЕ ТАК ЗНАКОМО И ТАК НЕОДНОЗНАЧНО, ОТ ДЕФИНИЦИИ И ОЦЕНКИ СТЕПЕНИ ТЯЖЕСТИ ДО ИНТЕНСИВНОЙ ТЕРАПИИ ШОКА.
Университетская клиника, [S.l.], n. 2(27), p. 60-68, июнь 2018.
ISSN 1819-0464. Доступно на: <http://journal.dnmu.ru/index.php/UC/article/view/200>. Дата доступа: 21 ноя. 2024
doi: https://doi.org/10.26435/uc.v0i2 (27).200.
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