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  • 标题:Open abdomen in trauma patients: a double-edged sword
  • 本地全文:下载
  • 作者:Yu-hua Huang ; You-sheng Li
  • 期刊名称:Military Medical Research
  • 印刷版ISSN:2054-9369
  • 出版年度:2016
  • 卷号:3
  • 期号:1
  • 页码:10
  • DOI:10.1186/s40779-016-0079-0
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:The use of open abdomen (OA) as a technique in the treatment of exsanguinating trauma patients was first described in the mid-19th century. Since the 1980s, OA has become a relatively new and increasingly common strategy to manage massive trauma and abdominal catastrophes. OA has been proven to help reduce the mortality of trauma. Nevertheless, the OA method may be associated with terrible and devastating complications such as enteroatmospheric fistula (EAF). As a result, OA should not be overused, and attention should be given to critical care as well as special management. The temporary abdominal closure (TAC) technique after abbreviated laparotomy was used to improve wound healing and facilitate final fascial closure of OA. Negative pressure therapy (NPT) is the most commonly used TAC method.
  • 关键词:Open abdomen ; Abdominal compartment syndrome ; Damage control ; Enteroatmospheric fistula ; Negative pressure therapy
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