摘要
目的总结和探讨创伤休克液体复苏的研究进展。方法对近20年来国内外相关文献进行查阅和总结。结果创伤休克的早期出血未控制前,应早期采用限制性液体复苏以保证重要脏器的基本灌注,并尽快止血,可提高休克病人的成活率,液体温度的选择仍值得探讨。结论迅速建立有效静脉通道、积极控制出血、根据病情给予适当扩容是创伤休克复苏成功的关键。
Objective To summarize and discuss the research progress on fluid resuscitation in wound shock. Methods Relevant domestic and foreign literature were referred and summarized. Results In early stage of uncontrolled wound shock,limited fluid resuscitation should be adopted to assure the basic perfusion of important viscera and at the same the bleeding should be stopped in time,which together can increase the survive rate of the shock patients. The option of temperature is worthy of exploration. Conclusion The key measures of palinesthesia include speedy establishing vein passageway,actively bleeding control and proper dilation according to the condition.
出处
《职业卫生与病伤》
2014年第2期154-156,共3页
Occupational Health and Damage
关键词
创伤
休克
复苏
trauma
shock
resuscitation
