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頁籤選單縮合
題 名 | 外傷重症照顧及外傷後多重器官衰竭=Trauma Critical Care and Postinjury Multiple-Organ Failure |
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作 者 | 陳瑞杰; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 3:1 2001.01[民90.01] |
頁 次 | 頁47-53 |
分類號 | 416.284 |
關鍵詞 | 外傷重症照顧; 多重器官衰竭; 三度評估; Trauma critical care; Multiple organ failure; Tertiary survey; |
語 文 | 中文(Chinese) |
中文摘要 | 嚴重外傷病患得以藉由迅速有效的緊急醫療網,送的特定外傷中心。經過迅速也復甦急救,有效地診斷評估,部份經過立即之處置與手術治療,得以倖免於立即死亡或早期死亡,必須於加護病房中接受重症照顧。初期主要著重於休克、灌流不足、呼吸衰竭及顱內高壓之改善;後期主要著重於感染與多重器官衰竭之控制與治。相信外傷後多重器官衰竭,會隨著臺灣地區緊急醫療網的落實而增加。多重器官衰竭之病理機轉,原本認為由外傷造成感染,再因感染導致多重器官衰竭,此即感染模式。但近期發現器官衰竭並無法全然歸因於感染,新的發於模式被用論為多重器官衰竭之主因。因此對於嚴重外傷病患,我們惟有迅速積極復甦止血,維持組織適當的灌流,控制發炎的來源,抱括感染與非感染,努力維護衰竭的器官,早期給予營養補充,避免再發生醫源性傷害,才能將嚴重外傷後多重器官衰竭的發生與其合併症減至最低。 |
英文摘要 | The development of designated trauma centers facilitated the development of dedicated Intensive Care Units (ICU) to manage the most severely injured patients. After rapid resuscitation, diagnostic evaluation and prompt surgical intervention, the severely inured patients who previously may died before arrival or in the operating room, now may survive and ultimately arrive in the ICU. The major clinical concern in the early care of trauma patient in the ICU is treatment of shock, hypoperfusion, respiratory failure, and intracranial hypertension. Infectious complications and multiple organ failure (MOF) do not manifest immediately, but will emerge as the leading cause of late postinjury death. With the developemtn of emergency medical systems and trauma medicine in Taiwan, the postinjury MOF will become a major challenge in ICU. Despite intense interest in this new syndrome, the pathogenic relationship between the traumatic insults and the development of MOF was uncertain. The infectious models were proposed in the 1980s, while MOF is invariably associated with sepsis, and MOF was also described as a “fatal expression of uncontrolled infection”. But more recent clinical observations suggest that MOF frequently occur in the absence of infection. Consequently , new noninfectious inflammatory models of MOF have been proposed. The management of critically injured patients is prioritized according to the physiologic necessity for survival and avoiding the development of MOF. And only the comprehensive management, including: Aggressive resuscitation, maximize oxygen delivery, control the source of inflammation and infection, support the failing organs, providing nutritional support, and prevent further iatrogenic injury, can improve the outcome of patients developed postinjury MOF. |
本系統中英文摘要資訊取自各篇刊載內容。