CAJ | 학술논문

目的：分析探讨一例多发伤患者早期休克复苏的护理体会。方法通过对于我科的一名早期休克复苏治疗的多发伤患者的各个方面的护理：迅速建立静脉通道，及时输血输液补充血容量，改善微循环的状态纠正休克，保持呼吸道通畅以及对于多处骨折部位的固定和护理，对所采取的护理方法及产生的效果进行临床分析。结果经过治疗与护理，该名多发伤引起早期休克的患者呼吸功能恢复正常，有效的血容量得到了补充而纠正了休克，患者意识恢复逐渐清醒，多处骨折部位都愈合良好，患者的病情好转，脱离生命危险。结论对于多发伤患者早期休克复苏，首先要在纠正休克的同时建立起通畅的呼吸道，保证充足的氧气供应，然后再进行创伤处理及护理，尽量减少感染的发生，降低不必要并发症的出现情况，这样就能够使病情得到一定的控制，可提高复苏的可能性，使死亡率下降，值得在临床上广泛应用。
목적：분석탐토일례다발상환자조기휴극복소적호리체회。방법통과대우아과적일명조기휴극복소치료적다발상환자적각개방면적호리：신속건립정맥통도，급시수혈수액보충혈용량，개선미순배적상태규정휴극，보지호흡도통창이급대우다처골절부위적고정화호리，대소채취적호리방법급산생적효과진행림상분석。결과경과치료여호리，해명다발상인기조기휴극적환자호흡공능회복정상，유효적혈용량득도료보충이규정료휴극，환자의식회복축점청성，다처골절부위도유합량호，환자적병정호전，탈리생명위험。결론대우다발상환자조기휴극복소，수선요재규정휴극적동시건립기통창적호흡도，보증충족적양기공응，연후재진행창상처리급호리，진량감소감염적발생，강저불필요병발증적출현정황，저양취능구사병정득도일정적공제，가제고복소적가능성，사사망솔하강，치득재림상상엄범응용。
Objective:Analyze a case of multiple trauma patients experience from the nursing of early resuscitation.Methods:Through my family one early resuscitation in the treatment of all aspects of the patients with multiple trauma care: rapidly develop venous channels, timely infusion added blood volume, blood transfusion improve microcirculation state of correcting shock, keep respiratory tract unobstructed and parts for multiple fractures of fixed and care, to take care the effect of the method and clinical analysis.Result:After treatment and nursing, the patients with multiple trauma cause shock early respiratory function returned to normal, effective blood volume has been added and corrected the shock, patients' consciousness recover gradually awake, several fracture healing is good, all patients got better, out of danger.Conclusion:For multiple trauma patients early resuscitation, start with a correct shock at the same time establish the respiratory tract unobstructed, assure enough oxygen supply, and then to trauma treatment and nursing, reduce infection, reduce unnecessary complications occur, so that it can make a certain amount of control of the disease, can increase the possibility of recovery, the decline in death rates as a result, is worth wide application in clinic.