5·12汶川大地震挤压伤一线手术术前准备
摘要
目的总结地震挤压伤一线手术治疗术前准备特殊性和必要性。方法回顾性分析16例地震挤压伤伤员的临床资料。结果经过充分补液、监测生命体征、早期心理干预、全面评估等准备后,16例伤员中实施截肢术9例,减压术3例,清创术4例,术中患者生命体征平稳,术后恢复较好。结论术前充分补液、液体复苏、全面监测和评估、早期心理干预等对抢救伤员生命、保证手术安全顺利完成有重要意义。
引文
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[4]蒋京京,刘虎,徐海涛,等.地震后挤压伤患者野外条件下的围手术期麻醉管理[J].第二军医大学学报,2008,29(2):586
[5]Ritenour AE.Complications after fasciotomy revision and delayed com-partment release in combat patients[J].J Trauma,2008,64(2 Suppl):256-258.
[6]Sever MS.Serum potassium in the crush syndrome victims of the Marmaradisaster[J].Clin Nephrol,2003,59(5):326-333.
[2]Vanholder R,van der Tol A,De Smet M,et a1.Earthquakes and crushsyndrome casualties:lessons learned from the Kashmir disaster[J].Kid-ney lnt,2007,71(1):17-23.
[3]Ron D.Prevention of acute renal failure in traumatic Rhabdomyolysis[J].Arch Intern Med,1986,144(2):277-280.
[4]蒋京京,刘虎,徐海涛,等.地震后挤压伤患者野外条件下的围手术期麻醉管理[J].第二军医大学学报,2008,29(2):586
[5]Ritenour AE.Complications after fasciotomy revision and delayed com-partment release in combat patients[J].J Trauma,2008,64(2 Suppl):256-258.
[6]Sever MS.Serum potassium in the crush syndrome victims of the Marmaradisaster[J].Clin Nephrol,2003,59(5):326-333.
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