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2001年以来我科收治170例重度创伤休克患者,多数患者为四肢或腹部外伤为主的两处以上复合伤。所有患者均行气管插管全身麻醉,建立中心静脉为主的多条通路,进行容量复苏为主的救治的同时,立即进行抢救性手术止血。结果 158例术后存活,9例死亡,3例术后植物生存。有效抢救成功率达93%。我们对这些病例的麻醉处理进行了总结,对重度创伤性休克患者手术救治的几个关键问题处理总结如下。
Since 2001, our department treated 170 patients with severe traumatic shock, the majority of patients with limbs or abdominal trauma dominated more than two compound injuries. All patients underwent tracheal intubation general anesthesia, the establishment of multiple central venous access, volume resuscitation-based treatment at the same time, the immediate rescue surgery to stop bleeding. Results 158 patients survived postoperatively, 9 died and 3 survived. Effective rescue success rate of 93%. We summarize the anesthetic management of these cases, the treatment of patients with severe traumatic shock treatment of several key issues are summarized below.