| 地震伤员严重下肢挤压伤保肢治疗体会 |
| |
| 引用本文： | 郭庆山,沈岳,林志国,黄显凯,王芳,王子明,黄建.地震伤员严重下肢挤压伤保肢治疗体会[J].创伤外科杂志,2008,10(6). |
| |
| 作者姓名： | 郭庆山 沈岳 林志国 黄显凯 王芳 王子明 黄建 |
| |
| 作者单位： | 1. 第三军医大学大坪医院野战外科研究所创伤外科二病区,重庆,400042
2. 德阳市第二人民医院外二科,四川,德阳,618000 |
| |
| 摘 要： | 目的 探讨地震伤员严重肢体挤压伤的保肢治疗.方法 在不干扰批量伤员救治的前提下,通过严格掌握纳入指征,合理配置医疗人员,按照分级救治程序,对伤员进行紧急救治和早期处理,特别重视监护调整脏器功能,一旦出现无法控制的生命体征紊乱即行截肢,病情稳定后及时后送.结果 1例肾功能损害加重再次手术截肢,9例均成功存活.至后送时,8例保肢伤员肢端血管搏动有力,毛细血管充盈时间正常,初期保肢成功率达88.9%.结论 依托良好的人员配置、ICU监护下脏器功能调整和科学的分级救治程序,部分严重挤压伤患者可以避免截肢.
|
| 关 键 词： | 地震伤 伤员 挤压伤 肢体 |
Limb salvage of earthquake casualty with severe lower limb crush injury |
| |
| GUO Qing-shan,SHEN Yue,LIN Zhi-guo,et al..Limb salvage of earthquake casualty with severe lower limb crush injury[J].Journal of Traumatic Surgery,2008,10(6). |
| |
| Authors: | GUO Qing-shan SHEN Yue LIN Zhi-guo |
| |
| Affiliation: | GUO Qing-shan,SHEN Yue,LIN Zhi-guo,et al.(Department of Orthopedic Surgery,Institute of Surgery Research,Daping Hospital,Third Military Medical University,Chongqing 400042,China) |
| |
| Abstract: | Objective To investigate the salvage method for patients with severe lower limb crush injury in earthquake.Methods According to grading rescue procedure,reasonably arraying staff,and control of the indication,first-aid and early management were carried out.Especially,monitoring and adjusting organ function.Once the vital sign occurred,attention was paid to uncontrollable disorder,and amputation was carried out immediately.Results Because renal function became more serious,1 case underwent amputation.Eight c... |
| |
| Keywords: | earthquake injury casualty crush injury limb |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
