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随着社会急救需求的增加,急诊工作全面深入开展,对急诊工作者的要求更高,面对危重急症患者,按常规诊疗程序就会延误抢救时机,错过超早期治疗时机.那么,在危重急症抢救中,如何运用正确的思维方法,寻找共性的急救程序,指导复杂的实际工作,提高急救效率及质量,降低病死率,是值得急诊工作者探讨的.本作者根据自己的工作体会提出如下观点与同行们切磋提高.1 掌握患者生命体征是否稳定当接诊急诊患者时,急诊大夫要立即掌握其生命体征,通过对生命体征检查及监测,了解有无危及生命的因素存在,并及时妥当处理,是降低病死率的关键.如各脏器衰竭,特别是急性衰竭,各种休克等危症,应及时诊断及全力抢救,时间就是生命,尽最大努力能使部分患者转危为安.而对那些潜在的危险因素,也应给予足够的重视及适当处理,以免在诊疗过
With the increase of social emergency demand, the emergency work is carried out in an all-round way and the requirements for emergency workers are higher. In the face of critically ill patients, routine treatment procedures will delay the rescue opportunity and miss the ultra-early treatment opportunity. In the process of rescue, it is worth discussing how to use the correct way of thinking, to find common emergency procedures, to guide the complicated practical work, to improve the efficiency and quality of first aid, and to reduce the fatality rate.This thesis is based on my own experience And improve their colleagues to learn.1 grasp the stability of patients with vital signs When receiving emergency patients, emergency doctors should immediately grasp their vital signs, through the vital signs and monitoring to understand whether there are life-threatening factors exist, and timely and proper treatment , Is the key to reduce the mortality rate.If the organ failure, especially acute failure, all kinds of shock and other diseases, timely diagnosis and rescue should be complete, time is life, make every effort to make some patients safe passage, while those who are potential Of the risk factors, should also be given adequate attention and appropriate treatment, so as not to over-treatment