严重创伤性休克患者87例救治分析

The emergency treatment and prevention of complications for 87 patients with severe traumatic shock

目的探讨严重创伤性休克的患者急救治疗，研究手术过程中大量快速输血引发的并发症的预防措施。方法回顾分析87例严重创伤性休克并给予大量快速输血的患者，进行急救治疗，同时对循环负荷、出血、体温、血钾等各项指标进行观察，总结治疗效果及并发症的有效预防措施。结果87例患者经过积极的手术处理，成功率为81．61％（71／87）；手术中大量输血引发了循环超负荷、出血倾向、体温偏低、低血钾症等特殊并发症。结论对严重创伤性休克患者应采取及时有效的急救治疗，对手术过程中大量输血可能引发的并发症做到正确的预防，是降低患者死亡率和并发症的关键。

Objective To explore the treatment of patients with severe traumatic shock first-aid and the preventive measure of the complications caused by a large number of fast blood transfusion during surgery. Methods Retrospective analysis of 87 patients with severe traumatic shock and rapid blood transfusion given to a large number of patients for emergency medical treatment,while the load cycle, bleeding, body temperature, serum potassium, and other indicators were observed, effects and complications of treatment and effective prevention measures were summarized. Results 87 patients after aggressive surgical treatment, the success rate was 81.61% （71/87） ; surgery circulatory overload caused massive blood transfusion, bleeding tendency,low body temperature,low blood potassium disorders such specific complications. Conclusion Patients with severe traumatic shock should be taken promptly and effective first aid treatment and the complication caused by massive blood transfusion during surgery, and it could reduce mortality and complications.