摘要
目的:总结分析多发伤合并失血性休克的急诊关键点,以期提高早期救治水平。方法:选择2009年11月-2012年11月期间我院收治的347例多发伤合并失血性休克患者为研究对象,回顾性分析入组患者的急诊资料,总结其治关键点。结果:347例患者经急诊抢救后,318例康复出院,急救成功率91.64%,29例死亡,死亡率8.36%。其中重度休克患者死亡率66.67%明显高于轻度和中度休克患者死亡率,差异显著(P〈0.05)。结论:对多发伤合并失血性休克患者的救治关键点在于建立高效的急诊抢救流程、合理实施液体复苏、尽早进行对症手术治疗。
Objectives:To summarize and analyze key emergency treatment points of multi-trauma combined with hemorrhagic shock,which is expected to improve early treatment levels.Methods:347 patients with multi-trauma combined with hemorrhagic shock recruited by our hospital from November of 2009 to November of 2012 were chosen as research subjects, and the emergency data of the patients were retrospectively analyzed, and key treatment points were summarized.Results:318 patients recovered and were discharged from hospital after the 347 patients received emergency treatments and were rescued, and the successful emergency rate was 91.64%. 29 patients died and the death rate was 8.36%. The death rate of the severe shock patients was 66.67%, which was obviously higher than that of the mild and moderate shock patients, and there were significant differences in these patients in death rate (P〈0.05).Conclusion:The key points for the treatment and cure of the patients with multi-trauma combined with hemorrhagic shock are setting up effective emergency treatment and cure procedures, and implementing of liquid recovery reasonably, and applying symptomatic operation treatment as soon as possible.
出处
《中国医药导刊》
2014年第1期50-50,52,共2页
Chinese Journal of Medicinal Guide
关键词
多发伤
失血性休克
急诊分析
Multi-trauma
Hemorrhagic shock
Emergency analysis