肝脾破裂患者失血量采用休克指数预测在指导急救与护理的作用.pdfVIP

当代医学 2016 年 6 月第 22 卷第 16 期总第 423 期 Contemporary Medicine, Jun.2016,Vol.22 No.16 Issue No.423 doi:10.3969/j.issn.1009-4393.2016.16.043 肝/脾破裂患者失血量采用休克指数预测在指导 急救与护理的作用 陈霞 王学勤 王永刚 [摘要] 目的 研究院内采用休克指数对于肝/脾破裂患者出血量的预测效果以及在指导对患者采取急救及相关护理中的作用。方法 选择 40 例 肝/脾破裂患者，根据患者入院后的血压、休克指数以及出血量的分析对患者采用紧急治疗措施以及相关护理。结果 采用休克指数的计算方法，术前 预测的出血量与实际手术过程中的出血量之间进行的比较结果显示，40例患者中基本符合病情的有 38 例（95.00%），且均经过有效治疗。结论 采用休 克指数对预测肝/脾破裂患者的失血量具有较高的准确率，对于患者的急救以及护理具有较好的指导作用。 [关键词] 肝/脾破裂患者；休克指数；出血量预测；指导急救与护理作用 [Abstract] Objective To study the effect of shock index on the bleeding volume in patients with liver and spleen rupture, and to guide the treatment of patients with emergency and related nursing care. Methods Choose 40 cases of liver / spleen rupture, according to the analysis of blood pressure, shock index and bleeding volume after admission, the patients were treated with emergency treatment and nursing care. Results Calculation method of shock index, the comparison of the amount of bleeding and the amount of bleeding during the operation was performed before the 临床医学procedure. In 40 patients, 38 cases (95%) were in the basic condition, and were treated by effective treatment. Conclusion The shock index has a high accuracy in predicting the blood loss in patients with liver and spleen rupture, for patients with emergency and nursing has a better guiding role. [Keywords] Liver/spleen rupture; Shock index; Bleeding volume forecast; Guide first aid and nursing 目前临床调查研???显示，在临床外科中肝/脾破裂是相对比 者的血压、休克指数以及出血量的分析对患者采用紧急治疗措施 Clinical Medicine 较常见的一种急腹症，其发病率较高，能够达到腹腔实质性脏器 以及相关