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严重创伤患者的液体复苏FluidResuscitationinTraumaticCriticallyIllPatients.ppt

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该【严重创伤患者的液体复苏FluidResuscitationinTraumaticCriticallyIllPatients 】是由【小落意】上传分享，文档一共【30】页，该文档可以免费在线阅读，需要了解更多关于【严重创伤患者的液体复苏FluidResuscitationinTraumaticCriticallyIllPatients 】的内容，可以使用淘豆网的站内搜索功能，选择自己适合的文档，以下文字是截取该文章内的部分文字，如需要获得完整电子版，请下载此文档到您的设备，方便您编辑和打印。riticallyIllPatientsPatternsofTraumaticInjuryratinginjury–ongoingsignificantbloodlossisexpectedBluntinjury–ultorcontainedandsignificantorlimitedHeadinjury–maintenanceofcerebralperfusionpressureOthers:pediatricandobstetrictraumaShockDefinition:andysfunctionS/S:fallingofBP,tachycardia,oligouria,decreasedmentalstatus,decreasedperipheralpulses,diaphoresisMaingoaloftherapy:rapidresuscitationwithre-establishmentoftissueperfusionusingfluidtherapyandvasoactivedrugsHemorrhagicshockAcuteresponse:IncreasedcapillarypermeabilityReductioninbloodflowpensationbyperipheralvasoconstrictionElevatedIL-6andTNF-alphaTissuehypoperfusionandanaerobicmetabolism/acidosisirculationisrestored,urTraumatichemorrhagicshockAcutestage:hemorrhagicshockpaniedwith:CardiogenicshockNeurogenicshockObstructiveshockSepticshockHemorrhagicshockTraumatichemorrhagicshockTraumatriadofdeathafterhemorrhagicshock:(1)Hypothermia(2)Acidosis(3)CoagulopathyTraumatichemorrhagicshockPhase1:Theperiodfrominjurytodefinite surgicalcareandhomeostasisPhase2:Theperiodduringandimmediately afterdefinitesurgicalprocedurePhase3:TheperiodinICUfollowing definitivecareandcharacterized byestablishedcriticalillnessPhase1:pre-hospital/pre-operativefluidtherapyTraumatichypotensionwithoutaheadinjury:noevidencesuggestthatpre-hospitalfluidsarebeneficialratingtorsoinjuriesTheevidencesupportingdelayedorlimitedprehospitalresuscitationinblunttraumaislessclearCrystalloidsanicmolecules,eitherglucoseorsodiumchloridebased.

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