中国实用外科杂志

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血管外科急症诊治中值得关注的几个问题

陈    忠,杨耀国   

  1. 首都医科大学附属北京安贞医院血管外科,北京100029
  • 出版日期:2020-12-01 发布日期:2020-12-21

  • Online:2020-12-01 Published:2020-12-21

摘要: 血管外科急症往往病情变化较快,严重时威胁病人的生命,及时诊断和正确治疗是抢救病人和提高医疗质量的必备条件。在诊治过程中,一方面要优化救治流程,包括做好院前救治、预检分诊、绿色通道和多学科协作等环节;另一方面提高医护人员对各种血管外科急症的诊断和救治能力是保障病人安全的重要基石。应通过救治体系的优化和医护人员能力的加强来提高急症病人的救治成功率。

关键词: 血管外科, 急症, 破裂性腹主动脉瘤, 主动脉夹层, 急性下肢缺血, 急性肠系膜缺血, 深静脉血栓形成

Abstract: Several issues worthy of attention in the diagnosis and treatment of emergency in vascular surgery        CHEN Zhong YANG Yao-guo. Department of Vascular Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
Corresponding author:CHEN Zhong,E-mail:chenzhong
8658@vip.sina.com
Abstract    Vascular surgery emergencies often change rapidly and threaten the lives of patients in severe cases. Timely diagnosis and correct treatment are necessary conditions for rescuing patients and improving medical quality. In the diagnosis and treatment process,it is important to optimize the treatment process including pre-hospital treatment,pre-examination and triage,green channels,and multidisciplinary collaboration. On the other hand,it is important to improve the diagnosis and treatment of various vascular surgery emergencies by medical staff. Ability is an important cornerstone to ensure patient safety. The success rate of emergency patients is improved by optimizing the treatment system and strengthening the capabilities of medical staff.

Key words: vascular surgery, emergency, rupture of abdominal aortic aneurysm, aortic dissection, acute lower limb ischemia, acute mesenteric ischemia, deep vein thrombosis