摘要
目的总结１９８９～１９９８年１０年间，直接进手术室抢救严重创伤病人的经验。方法充分发挥急诊外科手术的优势，对需紧急手术来挽救生命的严重创伤病人７７例（ＡＩＳ～ＩＳＳ评分均＞６０），利用床边检查，明确诊断，在复苏和抗休克的同时及早施行各类手术。本组紧急开颅手术８例，紧急开胸１２例，紧急开腹３０例，血管手术６例，联合手术等２１例。结果手术前和手术中复苏１８例，复苏成功１０例（５５．６％）。手术及手术后死亡２３例，总死亡率２９．９％。结论积极创造急诊手术条件，掌握好适应证，把诊断和治疗、复苏、抗休克和紧急手术有机结合起来，直接进手术室组织抢救，能提高严重创伤的抢救成功率。
Objective To evaluate the effects of resuscitation, emergency operation and support treatment on seriously injured patients from 1989 to 1998 in emergency operating room (EOR). Methods There were 77 patients (AIS -ISS score >16) who needed emergency medical serves including basic life support, anti-shock treatment, and surgical interventions. Eight patients received craniotomy, 12 received thoracotomy, 30 laparotomy, 6 vascular operation., 21 multiple-sites operations. Results Among the 18 cases who underwent resuscitation preoperatively or intraoperatively, 10 (55.6%) survived. Twenty-three cases died in operating room or after operation with a total mortality rate of 29.9%. Conclusions Early and prompt surgical treatment in EOR is of beneficial effects on critically injured patients.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1999年第4期251-252,共2页
Chinese Journal of Trauma
关键词
复苏术
急救
创伤
急诊手术室
Wounds and injuries Resuscitation First aid
