摘要
创伤是中青年致死致残的首要原因,而40%以上的患者死于失血性休克,因此做好创伤失血性休克的早期复苏是治疗的关键。笔者结合多年的创伤救治经验和近年相关研究进展,就失血性休克早期救治如何选用复苏液体、早期实行损害控制性复苏、积极纠正创伤性凝血病、早期低温治疗合并重度颅脑损伤患者等几个关键问题做简要论述,希望借此帮助临床医师制定出更安全、有效、更具实用性的复苏方案。
Trauma is the leading cause of disability and death of the young and middle ages. The potential loss of life years caused by injury far outweighs the other diseases. More than 40% of the wounded died of uncon- trolled hemorrhagic shock. The key of improving the success rate of trauma rescue is to manage the uncontrolled hemorrhagic shock in the early stage. In order to help clinicians develop a safer, more effective and more practical recovery plan, the author introduces and addresses several key issues on how to manage the uncontrolled hemorrhagic shock, including choosing appropriate resuscitation fluid, performing damage control resuscitation, actively correcting traumatic coagulopathy and hypothermia therapy in traumatic brain injury care.
出处
《创伤外科杂志》
2013年第6期485-488,共4页
Journal of Traumatic Surgery
基金
国家自然科学基金资助项目(81070063)
关键词
创伤
失血性休克
损害控制
复苏
trauma
hemorrhagic shock
damage control
resuscitation
