严重创伤患者的液体复苏FluidResuscitationinTrauq.pptVIP

Fluid Resuscitation in Traumatic Critically Ill Patients Aug 21, 2006 Ri 林 殿 閔 Patterns of Traumatic Injury Penetrating injury – ongoing significant blood loss is expected Blunt injury – blood loss may be occult or contained and significant or limited Head injury – maintenance of cerebral perfusion pressure Others: pediatric and obstetric trauma Shock Definition: a state of reduced organ perfusion resulting in tissue hypoxia and organ dysfunction S/S: falling of BP, tachycardia, oligouria, decreased mental status, decreased peripheral pulses, diaphoresis Main goal of therapy: rapid resuscit