创伤失血性休克患者的急救时间窗

Discussion of trauma hemorrhage shock patient's time window of first aid

目的分析创伤失血性休克患者的急救时间窗应用效果。方法选取本院收治的100例创伤失血性休克患者临床资料,按送院时间分为观察组50例（入院时间为1h内）与对照组50例（入院时间为4~10h）,对照组接受普通急救处理,观察组利用应急通道,创伤急救中的＂黄金时间＂及根据患者创伤部位采取急救措施,最后分析患者急救效果。结果观察组死亡率明显低于对照组,救治成功率明显高于对照组,差异有统计学意义（P〈0.05）。观察组抢救后,血压、心率、血氧饱和度变化等指标改善明显优于对照组,差异有统计学意义（P〈0.05）。观察组急性呼吸窘迫综合征、多器官功能障碍综合征等并发症发生率为8.00%,明显低于对照组的24.00%,差异有统计学意义（P〈0.05）。结论救治时间对创伤失血性休克患者的救治效果有着决定性影响,于＂黄金1h＂内进行及时有效的手术治疗创伤失血性休克患者临床处理,可降低患者死亡率,改善患者预后情况。

Objective To analysis of trauma patients with uncontrolled hemorrhagic shock first-aid time Windows application effect. Methods Our hospital treated 100 cases of trauma uncontrolled hemorrhagic shock patients clinical data,according to hospital time 50 cases were divided into observation group（admission time for 1h） and control group 50 cases（admission time is 4-10h）,the control group accepted ordinary emergency treatment,observation group with emergency channel,trauma prime time and according to the patients in emergency treatment of emergency measures,in the final analysis in patients with first aid effect. Results The mortality of observation group was obviously lower than the control group,the treatment success rate is significantly higher than the control group,the difference was statistically significant（P〈0.05）.Observation group after the rescue,such as blood pressure,heart rate,blood oxygen saturation change index improved significantly better than control group,the difference was statistically significant（P〈0.05）.Observation group of acute respiratory distress syndrome and multiple organ dysfunction syndrome complication rate was 8.00%,significantly lower than the control group 24.00%,the difference was statistically significant（P〈0.05）. Conclusion The treatment time on the treatment effect of trauma patients with uncontrolled hemorrhagic shock,has a decisive impact on the ＂gold 1h＂ within the timely and effective surgical treatment for traumatic patients with uncontrolled hemorrhagic shock in the clinical treatment,can reduce patient mortality and improve patients prognosis.