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目的:总结创伤性失血性休克的临床特点与急诊救治方法。方法:回顾性分析2012年4月-2014年4月我科收治的创伤性失血性休克70例患者的临床资料。结果:本组70例创伤性失血性休克患者中,经紧急抢救成功58例,抢救成功率为82.9%;死亡12例,死亡率为17.1%,死亡时间为住院后1-4 d,死亡原因为原发损伤严重及大出血。结论:创伤性失血性休克起病急,病情危重,积极的抗休克治疗与有效止血是急救成功的关键。
Objective: To summarize the clinical features and emergency treatment of traumatic hemorrhagic shock. Methods: The clinical data of 70 patients with traumatic hemorrhagic shock admitted to our department from April 2012 to April 2014 were retrospectively analyzed. Results: Among the 70 patients with traumatic hemorrhagic shock, 58 cases were successfully rescued by emergency rescue and the success rate of rescue was 82.9%. There were 12 deaths and the mortality rate was 17.1%. The death time was 1-4 days after hospitalization and the cause of death Serious damage to the primary and bleeding. CONCLUSION: Traumatic hemorrhagic shock is acute onset and critically ill. Active anti-shock therapy and effective hemostasis are the keys to successful first aid.