急诊、手术、ICU中休克病人液体的复苏

• 作 者: 容俊芳
• 出 处: 国外医学.麻醉学与复苏分册
• 发表日期: 1994年06期
• 关键词: 休克病人 ICU 多发性创伤 死亡原因 缺血性心脏病 呼吸困难 胶体液 氧供 羟乙基淀粉 血流动力学

在发展中国家病人死亡原因中创伤占第5位,居缺血性心脏病、癌症、卒中、呼吸疾病之后,在45岁以下病人死亡原因中意外的多发性创伤占首位。多发性创伤临床预后一直很差,50％病人在几分钟内即告死亡,30％伤后4小时死于不可逆的休克和伴有严重缺氧的呼吸困难,20％初期存活者经相应手术和ICU治疗后获得完全恢复的机会。

In developing countries, trauma accounts for the fifth leading cause of death among individuals under the age of 45 following the onset of ischemic heart disease, cancer, stroke and respiratory disease. Accidental multiple trauma accounts for the highest number of deaths in developing countries. The clinical prognosis of multiple trauma has been poor, 50% of patients died within a few minutes, 30% 4 hours after injury died of irreversible shock and severe hypoxemia with dyspnea, 20% of the initial survivors after surgery and ICU treatment to obtain a complete recovery opportunity.