CAJ | 학술논문

目的：总结创伤与失血性休克（HTS）患者的临床特点及急救处理方法。方法：回顾性分析我院2012年10月－2013年10月收治的277例 HTS 患者的临床资料。结果：277例患者经急救处理后好转199例（71．8％），无变化22例（7．9％），恶化27例（9．7％），病死29例（10．5％）；HTS 患者可见明显全身症状，以呼吸频率上升（98．6％）、血压下降（97．1％）、脉率上升（83．0％）为主；随着晶体输入量的增加，HTS 患者的病死率、器官功能衰竭（OD）率及感染率显著上升。结论：HTS 以组织供血下降、微循环灌注不足为主要特点，并伴有恐惧、焦虑引发的代偿功能失调，在急救处理中，应做好院前急救、液体复苏、足量通气及心理护理等各个环节，以改善患者预后，保证其生存质量。
목적：총결창상여실혈성휴극（HTS）환자적림상특점급급구처리방법。방법：회고성분석아원2012년10월－2013년10월수치적277례 HTS 환자적림상자료。결과：277례환자경급구처리후호전199례（71．8％），무변화22례（7．9％），악화27례（9．7％），병사29례（10．5％）；HTS 환자가견명현전신증상，이호흡빈솔상승（98．6％）、혈압하강（97．1％）、맥솔상승（83．0％）위주；수착정체수입량적증가，HTS 환자적병사솔、기관공능쇠갈（OD）솔급감염솔현저상승。결론：HTS 이조직공혈하강、미순배관주불족위주요특점，병반유공구、초필인발적대상공능실조，재급구처리중，응주호원전급구、액체복소、족량통기급심리호리등각개배절，이개선환자예후，보증기생존질량。
Objective:To summarize the clinical characteristics and treatment scheme of patients with trauma and hemorrhagic shock (HTS). Methods:The clinical data of 277 patients with HTS were analyzed retrospectively from Oct 2012 to Oct 2013. Results:Among the 277 cases after emergency treatment,199 cases (71.8%) were better, 22 cases (7.9%) were no change, 27 cases (9.7%) were deterioration,29 cases (10.5%) were dead. Most patients with HTS showed obvious systemic symptoms,included rising respiratory frequency (98.6%), lowing blood pressure (97.1%), rising pulse rate (83%).With the increase in patients with HTS crystal input,its mortality rate,OD rate and the infection rate increased significantly. Conclusion: Patients with HTS decrease with blood supply to the tissue microcirculation perfusion defects as the main character,and accompanied by fear,anxiety caused by compensatory dysfunction. In the emergency treatment,it should do a good job in all aspects of pre-hospital emergency,fluid resuscitation,adequate ventilation and psychological nursing in order to improve the prognosis of patients and ensure the quality of life.