严重创伤抗休克早期值得关注的几个问题

Key issues on management of patients in early stage of severe traumatic shock

严重创伤的早期抗休克治疗一直是临床的难点,直接影响到救治的成功与否。如何及时地纠正休克是创伤救治者重点关注的问题。本文通过分析严重创伤的出血途径,讲解严重创伤早期休克的常见原因,以便创伤救治工作者掌握严重创伤休克引起的可能问题,表单化地处理严重创伤患者,缩短休克时间,尽早恢复患者的血循环稳定,减少脏器缺血缺氧时间,降低患者的致残率与致死率,提高患者的救治成功率。

Anti-shock management for patients in early stages of severe trauma can directly affect the success rate of trauma rescue and has been a clinical challenge for a long time. The author introduces and addresses the common causes of early stage shock in patients with severe trauma and analyzes the possible potential bleeding sites for severe trauma, so as to help the clinicians master the potential problems caused by severe traumatic shock, effectively manage the patient, stabilize the hemodynamic instability in a timely manner, reduce organ ischemia and hypoxia time and thereby decrease the mortality and disability rate.