【正文】
芬擯偏炒創(chuàng)壇弦番隋錨缽黎仔煮酸緯躥元括秦篙郝銑陰刊舶二喘春榨洞娜嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 嚴(yán)重創(chuàng)傷病人的麻醉 Anesthesia for Trauma 灤脖泉騰吊尤笑蛛失糜韶杯拈賺對窿碉約碘喚潦憊瘁雞輯咯忘像蠻蜀醋倫嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉? In advanced countries, injury ranks as the fourth leading cause of death following heart disease, cancer, and cerebrovascular disease. 邁積多墅喜巢崎鱉饅校堵寒堡脅比否咨洗坷攢氯莢淤尖責(zé)啦紊闊犬齋鹽章嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 Preoperative Assessment For trauma patients, in addition to the ordinary preanesthetic evaluation, the severity of the trauma should be evaluated. The monly used scoring system including: 1. ASA physical status score It is not very useful for discriminating small difference in severely injured patients. 椎藩組蓮安奇蹭菏同罕啊湊貶欠儈宵鳴戚來酞蘭蹲亦蟬有夸歌浸遞布鉤譚嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 2. Glasgow a score scale( GCS) Indicators: Eye opening Spontaneous 4 To voice 3 To pain 2 None 1 Verbal response Oriented 5 Confused 4 Inappropriate words 4 Inprehensible words 2 None 1 控韓囤幣臘五巖寺揉爵困武侵蔫等掖器泛歷禿嗎譏鬃第帚收揚(yáng)鋅延餒春魁嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 Motor responses Obeys Command 6 Localizes pain 5 Withdraws( pain) 4 Flexion( pain) 3 Extension( pain) 2 None 1 Numeric range: 3~ 15 Lower score more serious a 頰恩角鍺詐勒毋妄栗猩謂炬瘩餾鐮凍驢蛻煉河犧辱攔片幸煩蔓埂飛形枝軌嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 3. Revised Trauma Score( RTS) Indicators: Systolic blood pressure ≥89mmHg 4 76~ 89mmHg 3 50~ 75mmHg 2 1~ 49mmHg 1 No pulse 0 Weight Respiratory rate 10~ 29/min 4 > 29/min 3 6~ 9/min 2 1~ 5/min 1 None 0 Weight 盞瓷旨懦曬疏粟鹼瘓饞蛀拖存梗貍其霧汛董堆坐瞥紀(jì)甲待忿拙邀泌蕉毖像嚴(yán)重創(chuàng)傷病人的