严重多发伤急诊室早期救治和护理

目的探讨严重多发伤患者早期救治和护理的方法,观察疗效,提高救治水平。方法对2006年6月～2008年12月来我院急诊室救治的88例严重多发伤患者的临床资料进行分析,并对其效果进行评价。救治和护理措施包括:保持呼吸道通畅、吸氧、保暖、控制出血、抗休克、抗感染、病情监测、预防并发症等。结果经上述处理后,6例死亡,82例病情控制后收住院进一步治疗,抢救成功率93.18%。82例住院患者经2～14个月随访,9例死亡,73例痊愈,16例有不同程度的残疾。结论严重多发伤常累及多个器官,病情复杂、变化快,抢救不及时或处理不当将导致病情加重,甚至死亡。及时、准确、有效的急救与护理提高了抢救成功率,为患者赢得了进一步治疗的时间。

Objective To investigate the methods of early remedy and nursing of severe multiple injury（SMI）,and also to observe the result.Methods 88 SMI case＇s data from June 2006 to Dec.2008 was analyzed and the result was evaluated.All cases underwent the procedure of keeping the air-way unobstructed,giving oxygen,controlling hemorrhage,antishock,anti-infection,monitoring patient＇s condition,preventing complications etc.Results 6 patients died,82 patients were admitted in hospital and followed-up for 2-14 months,death in 9 and cure in 73 cases （16 of them had deformity in different degree）.The rescue rate was 93.18%.Conclusion SMI usually can involve in many organs and the satuation is very severe.If the rescue is not in time or the way is not inappropriate,patient＇s condition will getting worse even death.Prompt,exact and effective remedy and nursing can increase the rescue rate and win the time for patient＇s further treatment.