严重创伤病人麻醉.pptVIP

* For example, acute oxygen deprivation from drowning requires immediate attention to restoring oxygen delivery to the cardiopulmonary system, to prevent massive cellular necrosis. Penetrating thoracic trauma requires immediate placement of a chest tube to drain extrapulmonary pleural air and blood. Such a patient may often require no further surgery. * Cutdown 早期复苏通道的建立有两点，一是发现创伤部位的血管，二是胸大肌注射升压药（如多巴胺、麻黄素） * Volume of fluid replacement and hemoglobin concentration consumption---a plateau in the curve of oxygen consumption versus oxygen delivery. Normalization of the base excess(deficit) o