创伤性休克病人的早期急救护理体会

Experience of Early Treatment and Nursing Care for Traumatic Shock Patient

目的:讨论在院前和急诊科对创伤性休克病人施行早期急救护理,对挽救病人的生命及伤情预后有重要的意义。方法:对我科1997年2月至2001年4月27例创伤性休克病人进行早期,快速,积极的补液,输血增加有效循环量,监测生命体征等综合性抢救治疗与护理措施。结果:经早期积极急救护理,26例病人收缩压维持在60mmHg以上,意识清醒,脉搏有力,转入手术室或专科治疗,1例病人伤势严重抢救无效死亡。结论:创伤性休克病人,伤势复杂,死亡率高,伤后早期院前与急诊科的有效救护,是提高抢救成功率的关键。

Objective: To discuss the emergent treatment and nursing care for traumatic shock patients during first aid and emergency department aid. Methods: 27 cases with traumatic shock from February 1997 to April 2001 were treated and nursed by comprehensive methods that can increase the effective blood circulation in the early stage. Results: The systolic blood pressure reached over 60 mmHg in 26 patients who were given the early emergent treatment and nursing care. The most patients were then successfully administered the surgical operation after the emergent treatment and nursing care but one case who died of the serious injury. Conclusions: Traumatic shock patients often have a high mortality because of their complicated injury and serious blood losing. Therefore it is very important to give the patients an emergent treatment and nursing care during the first aid and the emergency department aid.