Rational use of blood seismic wounded Experience_0.docVIP

 PAGE \* MERGEFORMAT 9 Rational use of blood seismic wounded Experience [Keywords:] rational use of blood seismic wounded 5.12 Wenchuan earthquake, causing houses to collapse, a large number of people buried pressure. Quake injured more than 30 million in urgent need of medical treatment, hospital admissions in the earthquake relief in more than 4,000 injured, admitted to hospital 1095. Earthquakes are an open wound of the upper and lower extremities fractures, pelvic fractures, spinal fractures, compression syndrome, brain trauma and complex trauma, visceral rupture, all of the wounded have different degrees of blood loss, there are seriously injured hemorrhagic shock, anti-hemorrhagic shock, surgical and debridement of necrotic tissue such as the treatment requires large amounts of blood transfusion. so to treat the wounded in the process of scientific and rational use of blood is particularly important. And the blood component transfusion of blood components as compared with the same volume of blood purity and concentration of higher better, while the input to avoid unnecessary side effects caused by component, and therefore more scientific and rational [1]. 1, the rational use of blood fracture patients 1.1 earthquake fracture patient in the fracture patients in the first place, the wounded in our hospital, 43% of fracture patients, mainly traumatic fracture of upper and lower extremities, pelvic fractures, spinal fractures, comminuted fracture of tibia and fibula. 1.2 Treatment of fractures of injury in severe crush injury with blood due to rich parts of the pelvic muscles, hip fracture can cause local tissue ischemia, necrosis, once the lifting of pressure, rupture of the capillary injury, increased vascular permeability, which can occur a large number of hidden blood, plasma exudation, the amount of bleeding should be estimated and appropriate infusion of plasma, plasma with the promotion of platelet adhesion, platelet aggregation to impro