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损伤控制ppt课件

上传者:幸福人生 |  格式:ppt  |  页数:18 |  大小:552KB

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esenteric arteryРBowel ischemiaРSecond-look procedureРSuperior mesenteric veinРBowel ischemiaРSecond-look procedureРPortal veinРBowel ischemiaРSecond-look procedureРSuprarenal inferior vena cavaРPossible renal failureРWrap and elevate legs; assess partment syndromeРInfrarenal inferior vena cavaРLower extremity edemaРWrap and elevate legs; assess partment syndromeРLeft renal veinРNoneРRight renal veinРRenal ischemiaРNephrectomyРCommon and external iliac arteryРLower extremity ischemiaРIpsilateral calf fasciotomies or extra-anatomic bypassРCommon and external iliac veinРLower extremity edemaРWrap and elevate legsРInternal iliac veinРNoneРDCⅠ期-控制污染Р直接缝合或用线性闭合器关闭横断的肠管? ? 肠切除和肠吻合手术应该限制或延期进行РDCⅠ期-切口暂时关闭Р原则上,初次手术后不应该缝合筋膜,以防术后出现腹腔间隙综合症(ACS),并有利于确定性手术后的切口关闭? ?可使用消毒灭菌、不与肠管浆膜发生粘连的硅胶片、塑料袋或人工合成补片暂时关闭切口

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