危重创伤休克患者外科手术麻醉的临床研究

Clinical study on anesthesia method of surgical operation in severe traumatic shock patient

目的探讨危重创伤休克患者的麻醉处理方法和临床体会。方法将该院收治的48例重度创伤休克手术患者按麻醉处理方法的不同随机分为两组,延迟复苏组(A组)和常规组(B组),各24例。结果患者均按预计完成手术,术中生命体征平稳。术后3～4h内完全清醒,恢复自主呼吸。A组有4例(16.6%)患者死亡,B组有12例(50.0%)患者死亡。A组病死率明显低于B组,差异有统计学意义(P<0.05)。结论危重创伤休克患者选择合适的麻醉管理可维护各脏器功能,为手术的顺利进行创造良好条件,提高该类危重患者的生存率。

Objective To investigate the application of anesthesia methods and clinical experience in treatment of severe traumat- ic shock. Methods 48 severe traumatic shock patients were randomly divided into two groups by different anesthesia treatment,in- cluding delayed resuscitation group （A group） and routine group （B group）, 24 cases in each group. Results Patients completed operation as expected with stable vital signs in the operation. Patients completely awaked and recovered the spontaneous respiration after 3-4 hours. 4 cases in group A （16.6%） and 12 cases in group B （50%） were died. The mortality of group A was significant- ly lower than that of group B （P〈0.05）. Conclusion The appropriate anesthetic managements for the severe traumatic shock pa- tients could maintain the function of each organ, create favorable conditions for operation, and improve the survival rate of critical patients.