创伤性休克的急救与护理研究

First Aid and Nursing Research of Traunatic Shock

目的探讨创伤性休克的急救与护理方法。方法51例创伤性休克患者依据国际创伤急救复苏ABC原则，给予保持气道通畅，维持呼吸，进行液体复苏，采取紧急确定性手术等方法进行急救，并采取相应护理措施。结果本组患者急救30min、lh后HR降低，SBP、DBP、MAP升高。尿量增加，急救1h后患者K＋降低，Na＋、Cl^-升高，与急救前比较差异均有统计学意义（p〈0.01）。结论建立有效循环，补充足够血容量，积极治疗原发病是抢救创伤性休克患者的关键。

Objective To discuss the methods of first aid and nursing for traumatic shock. Methods 51 cases of traumatic shock patients based on the principles of international trauma resuscitation ABC was given to maintain airway pateney, maintenance respiration, for fluid resuscitation, definitive surgery to take emergency first aid, and took the appropriate care measures. Results Compared with those of before the first aid, 30min and lh after the first aid, the patients of HR decreased, SBP, DBP, MAP and urine output increased, 1h after first aid, K ＋ decreased, Na ＋and Cl- increased, the differences were statistically significant （P〈0.05）.Conclusion Establish an effective cycle, add enough blood volume, active treatment of the primary disease is rescue key for patients with traumatic shock.