创伤失血性休克病人196例院前和院内的急救护理

First Aid and Emergency Nursing of Pre-hospital and In-hospital in 196 Cases with Traumatic and Hemorrhagic Shock

目的探讨创伤失血性休克病人院前和院内的急救护理。方法回顾性分析广州市第十二人民医院2002年1月—2007年12月由120送来的196例病人院前和院内急救护理情况。结果经急诊抢救后52例送ICU进一步治疗,68例病情稳定后送手术室实施必要的手术,74例抢救稳定后送普外科进一步保守治疗,2例院前死亡,8例因重度休克时间过长,ICU抢救无效死亡。结论正确、及时、有效的救护是抢救成功的重要保证。

[Objective] To discuss the first aid and emergency nursing of pre-hospital and in-hospital in with traumatic and hemorrhagic shock. [Methods] The first aid and emergency nursing data of pre-hospital and in-hospital of 196 patients carried by ambulance in Guangzhou No.12 People＇s Hospital from January, 2002 to December, 2007 were analyzed retrospectively.[Results] After first aid, 52 patients were sent to ICU, 68 patients were sent to operation room and carried out indispensable surgery when the patients got improved, 74 patients were sent to general surgical ward, 2 patients died before arrived hospital, and 8 patients died in ICU because of long-time severe shock. [Conclusion] The correct, effective and timely first aid and emergency nursing are important for the treatment of traumatic and hemorrhagic shock.