外伤性脾破裂伴有失血性休克患者急症急救的临床治疗观察

Analysis on the Emergency First Aid of the Patients With Traumatic Spleen Rupture Associated With Uncontrolled Hemorrhagic Shock

目的观察和探讨影响外伤性脾破裂失血性休克的相关因素,并予以相对应的措施进行治疗。方法回顾性分析2012年1月~2015年1月36例外伤性脾破裂伴失血性休克患者的临床资料,进行影像因素分析,并予以对症治疗,观察治疗后的效果。结果通过对36例患者抢救其中35例成功,成功率97.2%。平均手术时间（132.8±42.3）min,平均住院时间（18.7±4.6）d。结论通过高度关注外伤性脾破裂失血性休克的危险因素,早期对症治疗有助于提高临床效果,进行急症急救进行治疗,降低死亡率。

Objective To observe and discuss the related factors influencing the uncontrolled hemorrhagic shock, traumatic spleen rupture, and the corresponding measures for treatment. Methods 36 cases of traumatic splenic rupture with the clinical data of patients with uncontrolled hemorrhagic shock were chosen from January 2012 to January 2015, image factors analysis, and symptomatic treatment, observe the effect of the treatment. Results 35 cases in 36 patients rescue success, success rate of 97.2%. The average operation time（132.8±42.3） min, the average length of hospital stay（18.7±4.6） d. Conclusion Through the uncontrolled hemorrhagic shock, traumatic spleen rupture attention of risk factors, early symptomatic treatment helps to improve the effect of clinical emergency first aid treatment, reduce the incidence of death.