创伤失血性休克的救治原则

被引：17

作者：

刘怀琼

机构：

[1] 第三军医大学大坪医院重庆市

来源：

中华麻醉学杂志 | 1998年 / 05期

关键词：

失血性休克; 间质; 强制性; 血原性休克; 肾血管; 血浆容量; 血管外液; 平衡溶液; 创伤病人; 创伤; 阶段治疗; 膨胀压;

D O I：

暂无

中图分类号：

R641 [创伤];

学科分类号：

1002 ; 100210 ;

摘要：

<正> 严重创伤失血性休克的病人,如果出血难以及时控制,治疗上还存在许多需要解决的问题,下面就近来一些治疗的进展综述如下。一、休克严重性的分级失血性休克的严重性依出血的范围和时间不同而异。一个70公斤体重的人,红细胞容量约2L,血浆容量约3L,总血容量为5L。组织间质液约11L,细胞内液约26L。失血过程中首先丢失的是总血容量。急性失血的严重性和血管外间隙的代偿能力,决定着后来的器官功能不全。Ⅰ级出血,病人轻度出血,失去10%～15%的血容量(750ml),有心动过速,而不改变血压和呼吸。快速输入2L平衡溶液能有效恢复循环血容量和心排血量。肾灌注正常,末梢血管阻力和肾血管阻力接近正常。

引用

页码：318 / 320

页数：3

共 10 条

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