19例破裂腹主动脉瘤急救流程规范性研究  

Normative study on emergency response procedure of 19 cases of ruptured abdominal aortic aneurysm

作　　者：肖骏琦[1] 刘凤恩[1] 段青[1] 刘建平[1] 唐金红[1] 叶荣[1] XIAO Junqi;LIU Feng＇en;DUAN Qing;LIU Jianping;TANG Jinhong;YE Rong(the First Hospital affiliated to Gmman Medical College in Ganzhou City,Jiangxi Ganzhou 341000,China)

机构地区：[1]江西省赣州市赣南医学院第一附属医院,江西赣州341000

出　　处：《上海医药》2018年第21期36-38,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :探讨破裂腹主动脉瘤急救流程的规范性。方法 :选取19例破裂腹主动脉瘤患者,均行开腹手术。A组(10例)采用急诊室-CT室-手术室-重症监护室急救流程;B组(9例)采用急诊室-重症监护室-CT室/介入室-手术室-重症监护室流程。比较两组术前低血压持续时间、入院至手术响应时间、术中出血量、输血量、住院时间、并发症及病死情况。结果 :两组术前低血压持续时间、并发症、病死率比较无统计学差异(P>0.05);B组入院至手术响应时间长于A组,术中出血量、输血量少于A组,住院时间短于A组,均有统计学差异(P<0.05)。结论 :规范的破裂腹主动脉瘤急救流程效果明显。Objective： To explore the nonnativity of the emergency procedure for ruptured abdominal aortic aneurysm. Methods： Nineteen patients with ruptured abdominal aortic aneurysm were selected for laparotomy. Group A （10 cases） underwent procedure such as emergency room-CT room-operating room-ICU and group B （9 cases） underwent procedure such as emergency room-ICU -CT/interventional room-operating room-ICU. The duration of preoperative hypotension, the response time from admission to surgery, the intraoperative blood loss, the volume of blood transfusion, the time for hospital stay and the incidence of complications and death were compared between the two groups. Results： There were no statistically significant differences in the preoperative hypotension duration, the incidence of complications and mortality （P〉0.05）. The response time from admission to operation was longer, the intzaoperative blood loss and the volume of blood transfusion were less and the time for hospital stay was shorter in group B than group A （P〈0.05）. Conclusion： The effect of standardized first-aid procedure for ruptured abdominal aortic aneurysm is significant.

关 键 词：破裂腹主动脉瘤 急救 规范性研究 

分 类 号：R543.16[医药卫生—心血管疾病]