摘要
创伤急救中应特别注意以下几个问题:院前急救不可盲目模仿国外"拉着就跑"(scoop andrun),我国很多情况下仍需较高水平的"就地抢救"(stay and play)。诊断分类名称应规范;血流动力学稳定的病人充分运用现代诊断技术;创伤评分和器官损伤定级是诊断的重要内容。切忌指望休克纠正再手术,分秒必争手术止血才是最根本的抗休克措施;非控制性失血休克止血前遵循"限制性液体复苏"策略;并发"致死三联征"(凝血病、低体温、酸中毒)时,创伤救治采用"损害控制外科"原则。
Special attention should be given to several problems in trauma care, those are as following. The policy of ＂scoop and run＂ can not be simply imitated in pre-hospital care, but ＂stay and play＂ is required frequently with higher medical technique in the scene based on the situation of our country. The diagnostic terms need stand- ardization. Modern diagnostic techniques should be utilized adequately,providing the patient~ hemodynamics is sta- ble. AIS-ISS and OIS { organ injury scale ） can＇ t be ignored. It is a mirage, that the operation is performed till ob- serving hemodynamics improvement. To correct shock state,urgent surgical intervention for hemostasis is a critical measure. The strategy of limited fluid resuscitation is a wise option to deal with uncontrolled hemorrhagic shock. When ＂lethal triad＂ （ coagulopathy, hypothermia, acidosis } develops, damage control surgery （ DCS） program is selected to manage such patients.
出处
《创伤外科杂志》
2013年第1期1-4,共4页
Journal of Traumatic Surgery
关键词
创伤
急救
止血
手术
损害控制
trauma
first aid
hemostasis
surgery
damage control
