CAJ | 학술논문

目的探讨镇痛剂救治创伤性休克的适应症、安全性、可行性和必要性。方法选择35例创伤性性休克患者,年龄14~55岁,男30例,女5例。21例车祸伤,14例坠落伤,19例多发四肢骨折,16例四肢骨折合并多脏器损伤。27例使用镇痛剂,8例深昏迷患者未使用。结果27例使用镇痛剂的患者血压、心率、呼吸、精神状态均得到明显改善,手术后恢复良好。结论在救治创伤性休克的过程中,使用镇痛剂是安全、可靠、有效的,大幅提高抢救成功率。
목적탐토진통제구치창상성휴극적괄응증、안전성、가행성화필요성。방법선택35례창상성성휴극환자,년령14~55세,남30례,녀5례。21례차화상,14례추락상,19례다발사지골절,16례사지골절합병다장기손상。27례사용진통제,8례심혼미환자미사용。결과27례사용진통제적환자혈압、심솔、호흡、정신상태균득도명현개선,수술후회복량호。결론재구치창상성휴극적과정중,사용진통제시안전、가고、유효적,대폭제고창구성공솔。
Objective To study the analgesic treatment for traumatic shock, indications, safety, feasibility and necessity. Methods 35 cases of patients with traumatic shock, ages 14 to 55 years old, male 30 cases, women in 5 cases. 21 cases of traffic accident injury, 14 cases fal ing injury, 19 cases of multiple fractures of limbs, 16 cases of limbs fracture combined multiple organ injury. 27 cases of using analgesics, 8 cases of deep coma patients did not use. Results 27 patients with use of analgesics blood pressure, heart rate, breathing and mental state are obviously improved, recovered wel after the operation. Conclusion In the process of treatment of traumatic shock, the use of analgesics is safe, reliable and ef ective, significantly improve the success rate of rescue.