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The Damage Control Sequence and Underlying Logic
Oleh:
Rotondo, Michael F.
;
Zonies, David H.
Jenis:
Article from Journal - ilmiah internasional
Dalam koleksi:
The Surgical Clinics of North America (Keterangan: ada di ClinicalKey) vol. 77 no. 4 (Agu. 1997)
,
page 761.
Isi artikel
The damage control approach evolved out of a need to develop new ways in managing exsanguinating torso injuries. The underlying rationale is based on an understanding of the pathophysiology of metabolic acidosis, hypothermia, and coagulopathy. Rapid termination of exploratory laparotomy after initial control of hemorrhage and contamination breaks the lethal physiologic cycle of death by exsanguination. Aggressive resuscitation followed by reoperation leads to an increased survival rate.
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