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创伤与失血性休克50例诊疗分析

Analysis of diagnosis and treatment of 50 patients with traumatic and hemorrhagic shock
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摘要 目的探讨进一步提高创伤与失血性休克的诊疗水平。方法回顾性总结2004年5月至2007年5月我院急诊科50例创伤失血性休克患者,对患者年龄、休克程度评分、伤后就诊时间、是否手术、输液量等因素进行分析。结果 50例创伤与失血性休克中抢救成功率为76%(38例).创伤病死率为24%(12例)。结论创伤失血性休克的严重程度、非正确休克复苏是影响休克治疗效果的主要因素。早期合理的液体复苏,果断的急诊手术,可以有效地提高创伤性失血性休克的救治效果。 Objective To improve the level of diagnosis and treatment of the traumatic and hemorrhagic shock. Methods 50 cases of patients with sever traumatic and hemorrhagic shock treated in our department between May 2004 and May 2007 were analyzed retrospectively, and their age ,shock severity scale, time to hospital after injury,operation, fluid resuscitation volume etc were analyzed to show the relationship between the factors and the outcome. Results The rescue success rate was 76 % (38 cases), and traumatic mortality was 24 % (12 cases). Conclusion Shock severity scale and incorrect resuscitation manipulation are the main factors affecting the result of resuscitation and treatment of traumatic shock,and early surgery can effectively improve the result of severe trauma therapy.
出处 《中国基层医药》 CAS 2007年第7期1173-1174,共2页 Chinese Journal of Primary Medicine and Pharmacy
关键词 创伤失血性休克 救治 休克程度 Traumatic and hemorrhagic shock Therapy
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