急诊绿色通道救治肝脾破裂患者体验  

Experience in Rescuing Patients with Liver-Spleen Rupture through Emergency Green Track

作　　者：刘永利[1] 吕碧锋[1] 林春旺[1] 孙颖 

机构地区：[1]福建省厦门市第二医院急诊外科,361021 [2]普外科

出　　处：《中国全科医学》2011年第33期3845-3847,共3页Chinese General Practice

摘　　要：目的探讨肝脾破裂患者的急诊救治方法,评价急诊绿色通道在肝脾破裂患者抢救中的作用。方法对51例开通急诊绿色通道进行紧急救治的肝脾破裂患者诊治过程进行分析,做到早检查、早确诊、早治疗,并及时抗休克、合理扩容、纠正酸中毒等治疗。结果 51例肝脾破裂患者中,47例经治疗后康复出院,死亡4例,临床治愈率92.16%。结论急诊绿色通道最大程度保护了肝脾破裂患者的生命财产安全,避免了医患纠纷。Objective To explore the emergency treatment of liver and spleen rupture and to discuss the values of emergency green track in the rescue of liver and spleen rupture.Methods A total of 51 liver-spleen rupture patients rescued via the emergency green track were analyzed.Early check,early diagnosis,early treatment,and supportive treatment were carried out.Results Of the 51 patients,47 restored and 4 died,with a clinical cure rate of 92.16%.Conclusion Emergency green track is of great importance in the management of liver-spleen rupture,which helps to avoid the medical dispute between doctors and suffers.

关 键 词：脾破裂 急诊处理 绿色通道 

分 类 号：R657.32[医药卫生—外科学]