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目的探讨高原严重创伤患者的急诊急救护理干预措施。方法选取我院2014年8月-2016年8月收治的高原严重创伤患者59例,以手术原则和救治方法为依据,将患者划分为参照组28例和研究组31例,参照组患者实行确定性手术和非一体化救治,研究组实行损伤控制手术和一体化救治。对两组患者住院时间、LTD恢复时间、手术时间以及确定性治疗前时间、输血量等进行记录和比较。结果研究组的住院时间、LTD恢复时间、手术时间以及确定性治疗前时间均显著短于参照组,P<0.05;研究组的术中输液量显著少于参照组,P<0.05。结论对高原严重创伤患者应用损伤控制手术和急救一体化救治能取得良好的效果,能够对患者病死率进行降低,对其住院时间进行缩短,对患者预后进行改善,值得推广。
Objective To investigate emergency nursing interventions for severe traumatic patients in plateau. Methods Fifty-nine patients with severe traumatic disease in our hospital from August 2014 to August 2016 were selected. According to the principle of surgery and treatment, the patients were divided into the reference group (28 cases) and the study group (31 cases), and the reference group Sexual surgery and non-integrated treatment, the study group implemented injury control surgery and integrated treatment. The hospitalization time, LTD recovery time, operation time, definite time before treatment and blood transfusion were recorded and compared between the two groups. Results The length of stay, the recovery time, the operation time and the time before the definite treatment in the study group were significantly shorter than those in the reference group (P <0.05). The intraoperative infusion volume in the study group was significantly less than that in the reference group (P <0.05). Conclusion The application of injury control surgery and first aid integrated treatment to patients with severe traumatic injury in the plateau can achieve good results. It can reduce the patient mortality, shorten the length of hospital stay, and improve the prognosis of patients. It is worth promoting.