大量输液救治低血容量休克27例分析

目的:探讨分析地震后发生创伤出血性休克不同阶段的临床特点和救治措施。方法:回顾"5.12"汶川大地震发生后阿坝州人民医院医疗救援队收治672例地震伤病例中,有27例创伤出血性休克患者的病因、临床表现进行治疗。结果:27例低血容量休克患者中,肝破裂3例,脾破裂5例,肝脾破裂4例,双侧股骨骨折2例,一侧股骨并胫腓骨骨折4例,盆骨骨折2例,多根肋骨骨折并血气胸7例。24例抢救成功,死亡3例。结论:获救时间、诊治延误及年龄均是创伤出血性休克发生的高危因素。对地震后创伤出血性休克伤情高度重视和准确判断,早期诊断、及时大量扩容是对地震伤所致低血容量休克最主要的预防与治疗措施。

Objective：To analyze seismic after traumatic hemorrhagic shock different stages of clinical characteristics and treatment measures. Methods： Review ＂5.12＂ wenehuan earthquake occurred after the people＇s hospital medical teams in aba prefecture 672 cases were treated for injuries in the earthquake,27 cases of trauma patients with hemorrhagic shock the etiology, clinical manifestations. Results：27 cases of patients with hypovolemic shock, liver rupture in 3 cases,5 cases of splenic rupture,liver and spleen rupture in 4 eases,2 cases of bilateral femur fraeture,femur with tibia and fibula fracture in 4 cases,2 cases of pelvic fracture,multi - rib frac- tures and hemothorax 7 cases,24 cases were saved successfully, and 3 died. Conclusion： Delay time, diagnosis, treatment, and rescued the age all is traumatic bcmorrbagic shock of risk factors. After an earthquake in traumatic hemorrhagic shock injury and accurate judgement, early diagnosis and prompt large expansion of earthquakes are caused hypovolemic shock the main measures of prevention and treatment.