严重多发伤的新型急救模式探讨  

Integrative mode of emergency diagnosis and treatment for severe multiple trauma: analysis of 227 cases

作　　者：曹荣格[1] 刘永庆[1] 汪迎[1] 

机构地区：[1]安徽省立医院急救医学中心急诊外科,合肥230001

出　　处：《中国急救复苏与灾害医学杂志》2007年第9期518-519,529,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的探讨严重多发伤诊断和急救的一体化模式。方法对符合严重多发伤的标准的227例患者,采用一体化救治模式,在准确判断伤情,严密监测生命体征和及时容量复苏的前提下行损伤控制性手术,降低严重创伤的死亡率。结果本组227例中抢救成功186例,成功率81.9%,死亡41例,死亡率18.1%。结论准确诊断、动态监测、容量复苏和损伤控制性手术的一体化救治模式可以明显提高患者的抢救成功率。Objective To evaluate the effect of the integrative mode of emergency diagnosis and treatment of severe multiple trauma. Methods 227 patients with severe multiple trauma underwent diagnosis and treatment in emergency center based on the integrative mode, including early and exact diagnosis, rigorous monitoring, volume resuscitation, and damage control operation. Results 186 of the 227 patients (81.90%) were rescued successfully and 41 of the 227 patients died with a mortality rate of 18.10%. Conclusion The integrative remedy mode significantly increases the success rate of treatment of severe multiple trauma.

关 键 词：严重多发伤 损伤控制性手术 一体化救治 

分 类 号：R[医药卫生]