严重多发伤院前急救护理探析.docVIP

严重多发伤院前急救护理探析【中图分类号】R473 【文献标识码】B 【文章编号】1672－3783(2012)07－0238－01 【摘要】目的: 对382例严重多发伤患者的急救护理措施进行探讨。方法: 收集我院2008年1月—2011年6月院前抢382例严重多发伤进行回顾性对照分析。结果:全组382例严重多发伤的患者中，现场急救成功并安全转运至急诊室315例，抢救成功率为82.5 %；现场死亡52例，途中死亡15例，死亡率为17.5%。结论: 严重创伤死亡有三个高峰，第2个高峰在伤后数分钟至3 h内［3］，为提高存活率，最关键的是要抓紧伤后生命“白金半小时”的紧急救治。运用必威体育精装版的规范化、科学的护理措施，准确地对患者病情做出初步的评估，及时发现病情重点采取抢救措施。对呼吸系统和循环系统等的规范管理，使抢救工作急而有序，根据多发伤的特点，制定有效的护理抢救措施，以提高抢救成功率。 【关键词】: 严重多发伤; 院前急救; 护理 【Abstract】Objective: To screen the 120 emergency center with complete pre-hospital emergency first aid records of cases of severe multiple trauma 382 cases of severe multiple trauma patient care and first aid measures were discussed. Methods: the 2008 - 01 to 2011-06 pre-hospital rescue more than 382 cases of severe trauma were retrospectively analyzed. Results: 382 cases of severe multiple trauma patients, on-site first aid and safe transport to the success of the emergency room 315 cases, the survival rate of 82.5% on-site death in 52 cases, died on the way in 15 cases. Mortality rate was 17.5%. Conclusion: Severe trauma deaths of three peaks, the first two minutes after the injury to peak within 3 h ［3］, to improve survival, the key point is to pay close attention to life after injury, “platinum half-hour” emergency treatment. Use the latest standardized, scientific care measures accurately the patient’’s condition to make a preliminary assessment, timely detection of the disease focus, to take emergency measures. On the respiratory system and circulatory system of limited fluid resuscitation and other standard management. Emergency and ordered the rescue work, according to the characteristics of multiple injuries, the development of effective care, rescue measures. 【Keywords】: Severe multiple trauma; First aid; Care 从国内外文献报道来看，约有半数以上的严重创伤死于院前阶段。据美国有关部门的统计，在创伤死亡中约50%伤后迅速死亡，30%死于早期，20%死于晚期［1］。因此，我们应该加强院前急救的能力，减少院前死亡，为院内救治创造条件。多发伤的急救应从现场开始，必须迅速到达现场；排除致伤因素，使患者脱离危险区。对外伤患者的伤情做初步的判断评估，并根据紧急度和危重度评估的结果做出相应的基础的处理，如确保气道开放，辅助呼吸、循环维持、压迫止血、全脊柱固定，迅速送往医疗机构等，