枪伤 GSW及其处理.pptxVIP

枪伤GSW及其处理

病史Name:马XX37y/omaleChartNo.:ateandTime:93-12-2901:00PMTriage:1119救护车送入AVPU,38.8/96/24,112/68mmHg

主诉被不明人士开枪射击，听到一声枪响左手疼痛，腹部疼痛左脚麻，无力

理学检查GCS:E4V5M6血压:112/68mmHg呼吸:24/min心跳:96/min左手肘有两处圆形伤口左肋骨下缘有一处圆形伤口没有其他明显外伤

问题讨论如何做初步处理(primarysurvey)?ABCDE

HypovolemicShockClassIhemorrhage(lossof0-15%)minimaltachycardiaUsually,nochangesinBP,pulsepressure,orrespiratoryrateoccur.capillaryrefill3secondscorrespondstoavolumelossofapproximately10%.ClassIIhemorrhage(lossof15-30%)tachycardia(rate100beatsperminute),tach