严重创伤患者并发弥散性血管内凝血的护理  

Nursing of the Severe Trauma Patients with Disseminated Intravascular Coagulation (DIC)

作　　者：莫蓓蓉[1] 李琳琴[1] 张野[1] 

机构地区：[1]广东省深圳市南山区人民医院,518052

出　　处：《上海护理》2003年第1期12-13,共2页Shanghai Nursing

摘　　要：目的　探讨严重创伤患者并发弥散性血管内凝血 (DIC)的预防和治疗 ,以提高抢救成功率。方法　 1998年 1月～ 2 0 0 2年 1月 ,我科收治严重创伤患者 132例 ,发生DIC 2 4例 ,予以控制病因 ,纠正休克 ,改善微循环及控制并发症等积极治疗。结果　发生DIC的 2 4例中 ,治愈 15例 ,死亡 9例。结论　早期消除病因及诱因 ,防止休克及多器官功能障碍综合征 (MODS)的发生 ,严密观察DIC发生的早期征象 ,提高对凝血机理及成分输血的认识 ,是预防及抢救DIC的有效措施。Objective To reduce the rate of complication with DIC in severe trauma patients,in order to increase the success rate of rescue. Method To summarize the experiences of prevention and nursing of 24 cases of severe trauma patients complicated with DIC. Results Among the 132 patients with severe trauma,24 patients had complication of DIC, 15 of them were cured,9 of them were dead. Conclusion Removal of the cause and predisposing factors in the early stage, prevention of shock and Multiple Ogan Dysfunction Syndrome (MODS), close watch of the early symptoms of DIC, improved understanding of coagulation mechanism and component blood transfusion are favorable measures for prevention and rescue DIC complication.

关 键 词：严重创伤 发弥散性血管内凝血 护理 DIC 继发性出血综合征 预防 出血征象 

分 类 号：R473.6[医药卫生—护理学]