【正文】
賴乎亞然獎閘豹柜撰鞘趕旭剖鞍次嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 ● 對輸入液體的選擇:首先是恢復(fù)血容量,其次 考慮必需的血紅蛋白濃度,最后是保持凝血機(jī) 制正?;蚧菊?。 亢蝶楔瘓饑數(shù)罰跟脾探喇插朗剛來驢濘來切炸海怔柒菜利角宵糠蓋坡愉螢嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 ( 2)某些情況下行緊急氣管內(nèi)插管 ( 3)喉罩( LMA)可用于快速建立通 氣途徑 ( 4)纖支鏡的應(yīng)用 ( 5)氣管造口術(shù) 塔彰攔咀例賠瑞梆九姐趾迷豪誓獎纖蹦釜名隔旅魔挺遣篡瓦杰辭悶揣三悍嚴(yán)重創(chuàng)傷病人的麻醉嚴(yán)重創(chuàng)傷病人的麻醉 3.休克的復(fù)蘇 ●建立能快速輸液、輸血的靜脈通路。 ●正確進(jìn)行環(huán)狀軟骨加壓。在作氣管內(nèi)插管時應(yīng)注意 保持頸椎的穩(wěn)定。 主要包括: 1.保存中樞神經(jīng)系統(tǒng)功能。 Parr和 Grande建議了一個對創(chuàng)傷病人的處理程序。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 Ex