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目的总结地震挤压伤一线手术治疗术前准备特殊性和必要性。方法回顾性分析16例地震挤压伤伤员的临床资料。结果经过充分补液、监测生命体征、早期心理干预、全面评估等准备后,16例伤员中实施截肢术9例,减压术3例,清创术4例,术中患者生命体征平稳,术后恢复较好。结论术前充分补液、液体复苏、全面监测和评估、早期心理干预等对抢救伤员生命、保证手术安全顺利完成有重要意义。
Objective To summarize the specialties and necessity of preoperative preparation for pre-earthquake crush injury. Methods The clinical data of 16 injured crush victims were retrospectively analyzed. Results After adequate rehydration, vital signs monitoring, early psychological intervention and comprehensive assessment, 9 of the 16 injured patients were subjected to amputation, 3 decompression and 4 debridement. The vital signs of the patients were stable, Better recovery. Conclusions Preoperative full rehydration, fluid resuscitation, comprehensive monitoring and evaluation, early psychological intervention and so on are of great significance in rescuing the lives of the injured and ensuring the safe and successful operation.