失血性休克手术室抢救的探讨  

Discussion on hemorrhagic shock rescue in operating room

作　　者：钟吉锋 

机构地区：[1]辽宁省庄河市中医医院麻醉科,辽宁庄河116400

出　　处：《中国当代医药》2014年第2期171-173,共3页China Modern Medicine

摘　　要：失血性休克具有病情紧急、失血量大、凶险危重等特点,需要手术医师、麻醉医师及护士之间的密切配合,及时准确处置。对失血性休克手术室抢救措施进行了探讨,包括选择合适的手术时机、麻醉处理的原则、手术室抢救措施和手术护理措施等。其中,手术室抢救措施包括抢救原则、立即建立多路输液通道、补充血容量及液体选择、病因治疗、防治心功能不全和肾衰竭、补充钙剂、成分输血和应用凝血因子。Hemorrhagic shock has the characteristics of critical conditions,massive blood loss,and urgency.Close coop- eration among surgeon,anesthetist and nurse,timely and accurate disposal are necessary.A variety of theoretical and practical rescue measures in operating room on hemorrhagic shock are discussed in the article including selection of appropriate operation timing,anesthesia disposal principle,rescue measures in operating room and operation nursing measures.In the aspect of rescue measures in operating room,which are composed of rescue principle,rapid establish- ment of multipath fluid infusion,blood volume supplementation,fluid selection,etiological treatment,prevention and treat- ment of cardiac insufficiency and renal failure,calcium supplementation,blood component transfusion and application of coagulation factors.

关 键 词：失血性休克 手术室 抢救 

分 类 号：R605.971[医药卫生—急诊医学]