失血性休克患者40例的麻醉处理分析

The effect of 40 cases anesthesia treatment for hemorrhagic shock patients

目的研究麻醉处理对失血性休克患者的效果,为临床治疗提供参考和借鉴。方法以2013年2-12月入住东莞市道滘医院进行手术治疗的失血性休克患者40例为研究对象,所有患者均在进行手术之前肌内注射东莨菪碱0.30 mg或者阿托品0.50 mg,构建起上下肢静脉通道,然后对他们补充液体,其中添加糖皮质激素,并对患者实施抗休克的扩容治疗。全部患者都通过气管插管给予静脉复合麻醉,然后测量患者的血压、脉搏、心率、血氧饱和度等效果指标。结果经过对患者扩容治疗30 min以后,患者的舒张压、收缩压有所升高,心率与脉搏有所降低,同时,血容量增加,呼吸变慢。治疗前后各个参数差异有统计学意义(P<0.05)。结论应用科学合理的麻醉处理方式,且尽快实施扩容治疗是失血性休克患者治疗的重点,对成功医治患者发挥着非常重要的作用。

Objective To study the effect of the anesthesia treatment for hemorrhagic shock patients, and to provide reference for clinical treatment. Methods 40 cases admitted hemorrhagic shock patients were chosen in Daojiao Hospital from February 2013 to November 2013 as the objectives. Upper and lower extremity venous channel was established for fluid infusion added sugar cortical hormone, and to volume expansion therapy with countershock. All patients were given intravenous anesthesia by endotracheal intubation, and then measured the patient＇s blood pressure, pulse and heart rate, oxygen saturation and other indicators.Results After 30 minutes of expansion, the patient＇s diastolic blood pressure and systolic blood pressure increased, heart rate and pulse decreased. Meanwhile, the blood volume increased and the breath slowed down. There were significant differences in all parameters（P〈0.05） before and after treatment. Conclusion The application of scientific and reasonable anesthesia method and the implementation of expansion treatment in the successful treatment of patients with hemorrhagic shock is the focus of treatment.