创伤性纵隔血肿的观察和护理  

Observation and nursing of traumatic mediastinal hematoma

作　　者：李虹霞[1] 李永秀[2] 马开兰[2] 徐国先[2] 

机构地区：[1]重庆市急救医疗中心保健科,400014 [2]重庆市急救医疗中心创伤科,400014

出　　处：《重庆医学》2017年第25期3518-3519,3522,共3页Chongqing medicine

摘　　要：目的探讨创伤性纵隔血肿的观察和护理。方法回顾性分析该院创伤科2006年7月至2016年5月收治的44例纵隔血肿患者的临床资料。结果患者治愈40例,死亡4例(9%),1例死于术后消耗性凝血障碍,1例死于急性冠脉综合征,2例因严重多发伤死于创伤性失血性休克。结论及时诊断和处理心脏和胸腔内大血管损伤是挽救患者生命的关键;护理重点为观察血肿的进展,采用控制性降压、限制性液体复苏和正确选择输液途径等综合治疗护理措施预防血肿的扩大和破裂。Objective To explore the observation and nursing of traumatic mediastinal hematoma. Methods The clinical data in 44 cases of mediastinal hematoma treated in our department from July 2006 to May 2016 were analyzed retrospectively. Results Forty cases were cured,4 cases（9 %） died,the mortality rate was 9%,in which 1 case died from postoperative consumptive coagu- lopathy, 1 case died from acute coronary syndrome and 2 cases died from traumatic hemorrhagic shock. Conclusion Timely diagno- sis and treatment of intrathoracic cardiac and vascular injury are the key to save the lives of patients; the nursing focuses include ob- serving the hematoma progress,adopting the comprehensive treatment measures such as controlled hypotension,limited fluid resus- citation and correctly selecting infusion approach for preventing hematoma enlargement and rupture.

关 键 词：纵隔 血肿 护理 

分 类 号：R473.6[医药卫生—护理学]