Earthquake casualty care of intraoperative blood transfusion.docVIP

 PAGE \* MERGEFORMAT 7 Earthquake casualty care of intraoperative blood transfusion Of: Jiang Lan, AN Hong, Xiongbi Jun, Chen Yan, Lidong Wen, Liu Liu [Keywords:] earthquake injured blood transfusion care Wenchuan 8.0 earthquake in the treatment of most of the wounded required surgery injury complicated, heavy injury, blood loss and more, this group of 345 patients injured in the earthquake, combined with 44 cases of intraoperative blood transfusions. In order to ensure earthquake injured blood transfusion the best results, we have taken a series of effective measures, now blood transfusion reported as follows. A blood transfusion nursing 1.1 earthquake injured before transfusion for the purposes of blood transfusion before the blood transfusion to ask himself and his family history and allergy history, and explain the adverse effects of blood transfusion and the possibility of blood-borne diseases, and signed consent lt;lt;transfusion therapy consent formgt;gt; confirm the relevant information and signatures to be implemented after the transfusion therapy. 1.2 The rational use of transfusion therapy body fluids lost preoperative assessment of the situation correctly, the wounded into the operating room, to prevent the entry into cardiac blood from the surgical site or loss of fracture fragments, select parts of the vein away from the injured: head, chest and back , The choice of upper extremity venous injuries, abdominal, pelvic, lower extremity venous injury upper limb use, limb injuries use the external jugular vein, if necessary, deep venous catheter line. 18G catheter connected with the rapid establishment of two links intravenous access, doctor’s advice first infusion of lactated Ringer’s injection (four Chuan Kelun Pharmaceutical Co., Ltd., Zhunzi: T080404D and the amount of colloid (long source of blood safety, long the source of Jilin Pharmaceutical Company, Zhunzi: in the shortest possible timely rehydration time, added ef