Evaluation and management of abdominal stab wounds: A Western Trauma Association critical decisions algorithm

被引：33

作者：

Martin, Matthew J. ^{[1
]}

Brown, Carlos V. R. ^{[2
]}

Shatz, David V. ^{[3
]}

Alam, Hasan B. ^{[4
]}

Brasel, Karen J. ^{[5
]}

Hauser, Carl J. ^{[6
]}

de Moya, Marc ^{[7
]}

Moore, Ernest E. ^{[8
]}

Rowell, Susan E. ^{[5
]}

Vercruysse, Gary A. ^{[4
]}

Baron, Bonny J. ^{[9
]}

Inaba, Kenji ^{[10
]}

机构：

[1] Legacy Emanuel Med Ctr, Portland, OR 97227 USA

[2] Univ Texas Austin, Dell Med Sch, Austin, TX 78712 USA

[3] Univ Calif Davis, Sacramento, CA 95817 USA

[4] Univ Michigan, Ann Arbor, MI 48109 USA

[5] Oregon Hlth & Sci Univ, Portland, OR 97201 USA

[6] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[7] Med Coll Wisconsin, Milwaukee, WI 53226 USA

[8] Denver Hlth, Denver, CO USA

[9] Kings Cty Hosp, Brooklyn, NY USA

[10] Univ Southern Calif, Los Angeles, CA USA

来源：

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY | 2018年 / 85卷 / 05期

关键词：

stab wound; penetrating trauma; abdominal; algorithm; Western Trauma Association; SELECTIVE NONOPERATIVE MANAGEMENT; COMPUTED-TOMOGRAPHY; DIAPHRAGMATIC INJURY; INITIAL EVALUATION; THORACOABDOMINAL TRAUMA; PERITONEAL-LAVAGE; LOWER CHEST; BACK FLANK; CT-SCAN; LAPAROSCOPY;

D O I：

10.1097/TA.0000000000001930

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

This is a recommended management algorithm from the Western Trauma Association addressing the management of adult patients with abdominal stab wounds. Because there is a paucity of published prospective randomized clinical trials that have generated Class I data, these recommendations are based primarily on published observational studies and expert opinion of Western Trauma Association members. The algorithm and accompanying comments represent a safe and sensible approach that can be followed at most trauma centers. We recognize that there will be patient, personnel, institutional, and situational factors that may warrant or require deviation from the recommended algorithm. We encourage institutions to use this as a guideline to develop their own local protocols.

引用

页码：1007 / 1015

页数：9

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