创伤性失血性休克32例治疗探讨

THERAPEUTIC RESEARCH ON 32 PATIENTS WITH WOUNDED HEMORRHAGIC SHOCK

目的：为了提高基层医院对失血性休克的抢救成功率；方法：本文分析了32例失血性休克的病因、病变部位、临床表现、治疗措施和预告；结果：治愈29例，抢救成功率为90．6％，死亡3例，其因入院时受伤时间均已超越6小时以上，休克指数大于1．5以上；结论：抢救及时，尽快建立有效的静脉通道，快速扩容，尽快彻底止血，并给必要的药物和综合治疗措施。以维持心、脑、肺、肾等脏器的有效循环及功能，为休克复苏争取到宝贵的时机。

Aim:To improve the rescue successful rate of patients with hemorrhagic shock in small. hospital. Methods; The causes, lesion location, clinical manifestation, treatment and results of patients with hemerrhagic shock were analysed. Results: 29 putients were cured with a 90. 6% rescue successful rate and 3 patients died because the injury time was more then 6 hours and the shock index was more than 1. 5. Condusion:It should be given the following measures to gain the opportunity of resuscitation: immediately rescue, establishing a effective passage for intravenous injection, rapid infusion, completed control of bIeeding,and giren necessary drugs and other treatment to maintain the effective circulation and function of heart,brain,lungs .and kidney.