创伤治疗中几个不容忽视的理念  

Several viewpoints not to be ignored in the treatment of severe trauma

作　　者：吴恒义[1] 

机构地区：[1]广州军区总医院ICU,广东广州510010

出　　处：《创伤外科杂志》2011年第2期97-99,共3页Journal of Traumatic Surgery

摘　　要：严重创伤治疗中有几个理念必须引起重视:(1)在创伤处理中遇到取舍留弃的选择时,应该遵循"救命第一,保存器官、肢体第二、维护功能第三"的原则;(2)必须融入"以处理危及生命的原发伤为中心"的理念;(3)必须接受"损害控制"的理念;(4)在诸多治疗措施中,液体疗法仍然是最重要的手段;(5)合理的氧供是治疗中不可忽视的环节;(6)控制"可允许性低血压"是处理创伤性休克非常重要的方式;(7)维持合理的血压是衡量组织灌注的重要标志;(8)应该接受"可允许性高碳酸症"的理念;(9)密切关注、及时扭转低温、酸中毒和凝血机制障碍等致命性三联征的发生。Several viewpoints should be stressed in the treatment of severe trauma.（1）Correct principles should be strictly followed in the management of trauma,that is,saving lives first,conserving organs and limbs second,and last safeguarding the functions;（2）The concept of ＂stressing on the treatment of primary trauma endangering patients＇lives＂ should be followed;（3）The concept of ＂damage control＂ should be accepted;（4）Infusion is still the most import therapy in varied measures;（5）Rational oxygen therapy is a key link in the treatment of trauma;（6）The control of ＂permissible hypotension ＂is an important form in the treatment of trauma shock;（7）Keeping rational blood pressure is an important mark for tissue perfusion;（8）The concept of ＂permissible hypercapnia＂ should be accepted;（9）Syndromes of low body temperature,acidosis and dysfunction of blood coagulation should be paid close attention and timely corrected.

关 键 词：创伤 治疗 理念 

分 类 号：R64[医药卫生—外科学]