Experience of traumatic shock in surgical care.docVIP

 PAGE \* MERGEFORMAT 7 Experience of traumatic shock in surgical care [Keywords:] Shock Trauma Care Under normal circumstances, more pre-hospital trauma patients failed to receive timely and effective disposal of hospital patients with shock after the more life-threatening, which requires health care workers with limited conditions, to timely and accurate to first aid for shock patients. admitted to our department in recent years, trauma patients, with 52 concurrent shock, now in the process of the ambulance Experience described below: 1. The early stage g body (1) state of consciousness, shock early in the sympathetic nerve, the patient can be expressed as conscious or irritability, with the shock increased, decreased cerebral perfusion, cerebral dysfunction, confusion, or coma occurs. Expression of indifference or because of trauma patients with pain The face showed the pain. (2) the skin, mucous membranes microcirculation in shock early spasm, while the performance of mucocutaneous vasoconstriction, the brain, heart and other organs with sufficient blood perfusion, then the skin, mucous membranes pale ischemia, the temperature decreased. congestion in the shock of the mid microcirculation , due to vascular leakage in the interstitial fluid, and clammy skin, limbs, lips, distal parts of cyanosis. late in shock, due to the presence of micro-circulation in the DIC, showing a wide range of skin and mucous membrane bleeding, ecchymosis. (3) Pulse: In the early shock, the sympathetic nerve, may only increase the performance of the pulse of the fast progress with the shock, change thy blood be further reduced, cardiac output decreased, the performance of the fast and weak pulse, severe of reach . (4) heart rate and heart sounds: Early heart rate, how much at 100 beats / min, disease progression, although the compensatory heart rate, can not maintain blood pressure, cardiac output decreased because of, change thy blood less we