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创伤失血性休克患者,因其失血量大,损伤复杂,对其手术麻醉极具危险性,尤其术前来不及处理的重患。我院1991年6～8月间成功地抢救两例重度创伤失血性休克病人,现报告如下: 1 临床资料 例“孙某,男性,32岁,诊断为全身复合性挤压伤,失血性休克(左侧多肋多段骨折,肺叶挫裂伤,脾破裂,左肾挫伤,颅内挫伤,术前血压6.7/5.3kpa,心率160bpm,呼吸浅速,神志不清。在静脉复合麻醉下行胸腹联合探查术(实施脾切除术,肺叶修补术,肋骨复位内固定术),手术历时4h余,病人术终血压,脉搏、尿量均达正常范围,自主呼吸恢复,意识朦胧,安返病房,术后经康复性治疗,已痊愈。 例2,赵某,女性30岁。诊断为下腔静
Traumatic hemorrhagic shock patients, because of its large blood loss, injury complex, very dangerous for its surgical anesthesia, especially in patients with advanced treatment too late. Our hospital from June to August 1991 successfully rescued two cases of severe traumatic hemorrhagic shock patients are reported as follows: 1 clinical data example "Sun, male, 32 years old, was diagnosed with systemic composite crush injury, hemorrhagic shock (Left multi-ribbed multistage fracture, lobar laceration, splenic rupture, left kidney contusion, intracranial contusion, preoperative blood pressure 6.7 / 5.3kpa, heart rate 160bpm, shallow breathing, unconsciousness. Joint exploration (splenectomy, lobectomy, rib reduction and internal fixation), the surgery lasted more than 4h, the patient’s postoperative blood pressure, pulse, urine output reached the normal range, spontaneous breathing recovery, confusion, return to the ward, After the rehabilitation treatment, has been cured .Example 2, Zhao, 30-year-old woman diagnosed as inferior vena cava