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目的:总结创伤与失血性休克(HTS)患者的临床特点及急救处理方法。方法:回顾性分析我院2012年10月-2013年10月收治的277例HTS患者的临床资料。结果:277例患者经急救处理后好转199例(71.8%),无变化22例(7.9%),恶化27例(9.7%),病死29例(10.5%);HTS患者可见明显全身症状,以呼吸频率上升(98.6%)、血压下降(97.1%)、脉率上升(83.0%)为主;随着晶体输入量的增加,HTS患者的病死率、器官功能衰竭(OD)率及感染率显著上升。结论:HTS以组织供血下降、微循环灌注不足为主要特点,并伴有恐惧、焦虑引发的代偿功能失调,在急救处理中,应做好院前急救、液体复苏、足量通气及心理护理等各个环节,以改善患者预后,保证其生存质量。
Objective: To summarize the clinical features and emergency treatment of patients with traumatic and hemorrhagic shock (HTS). Methods: The clinical data of 277 HTS patients admitted to our hospital from October 2012 to October 2013 were retrospectively analyzed. Results: After treatment, 277 patients improved in 199 cases (71.8%), no change in 22 cases (7.9%), deterioration in 27 cases (9.7%) and death in 29 cases (10.5%); obvious systemic symptoms Respiratory rate increased (98.6%), blood pressure decreased (97.1%), and pulse rate increased (83.0%). With the increase of crystal input, mortality and organ failure (OD) rise. CONCLUSIONS: HTS is characterized by decreased blood supply to the tissue and insufficient perfusion of microcirculation, accompanied by fear and anxiety-induced compensatory dysfunction. In emergency treatment, pre-hospital emergency rescue, fluid resuscitation, adequate ventilation and psychological nursing And other links, in order to improve the prognosis of patients, to ensure their quality of life.