急诊创伤后自发性低体温发生因素分析与干预措施探讨

Analysis of Factors Affecting Spontaneous Hypothermia after Emergency Trauma and Intervention Measures

目的:对急诊创伤后自发性低体温发生因素分析与干预措施探讨。方法:选取2016年1月-2019年3月间我院100例急诊创伤患者中发生自发性低体温的25例患者作为调查对象,根据患者病情将其分为发生组25例与未发生组75例。根据患者的各项基础信息、创伤类型、受创严重程度、现场急救状态等因素对自发性低体温产生的影响进行分析,并采取针对性干预措施。结果:在患者急诊创伤后影响其发生自发性低体温的主要因素为修正创伤评分、救护车到达时患者卧于地上、转运途中是否使用保暖措施、衣物潮湿情况、是否有院前输液等原因。结论:因急救人员缺乏急诊创伤后发生自发性低体温并发症的重视意识和认知程度,且其专科技术性较低,故而低体温发生率较高。针对这类危险因素可直接拟定相关急救人员的专科培训与考核、使其自觉对低体温患者的实施保暖措施,可有效降低急诊创伤后自发性低体温发生率,减少复温休克发生情况,提高患者抢救成功率。

Objective:To analyze the factors and intervention measures of spontaneous hypothermia after emergency trauma.Methods:Twenty-five patients with spontaneous hypothermia in 100 patients with emergency trauma in our hospital from January 2016 to March 2019 were selected as subjects.According to the patientcondition,they were divided into the following group(25 cases)and did not occur.Group(75 cases).According to the patient's basic information,type of trauma,severity of trauma,on-site first-aid status and other factors to analyze the impact of spontaneous hypothermia,and take targeted interventions.Results:The main factors affecting spontaneous hypothermia in patients after emergency trauma were corrected trauma score,whether the patient was lying on the ground when the ambulance arrived,whether the warmth was used during transit,the wetness of the clothes,and whether there was pre-hospital infusion.Conclusion:Because of the lack of consciousness and cognition of spontaneous low-temperature complications after first-aid personnel lack of emergency trauma,and their specialist technicality is low,the incidence of hypothermia is higher.In view of such risk factors,the specialist training and assessment of relevant emergency personnel can be directly formulated,and the self-conscious measures for warming down patients with hypothermia can be effectively reduced,which can effectively reduce the incidence of spontaneous hypothermia after emergency trauma,reduce the occurrence of rewarming shock,and improve The patients rescue success rate.