| 陈丽,熊成敏.异型输血在抢救创伤失血性休克病人中的护理体会[J].安徽医药,2017,21(7):1345-1347. |
| 异型输血在抢救创伤失血性休克病人中的护理体会 |
| Nursing experience of different group blood transfusion in patients with traumatic hemorrhagic shock |
| 投稿时间：2016-08-23 |
| DOI： |
| 中文关键词: 异型输血 创伤性失血性休克 护理体会 |
| 英文关键词: Different group blood transfusion Traumatic hemorrhagic shock Nursing experience |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨异型输血在抢救失血性休克病人中的价值。 方法 对38例创伤失血性休克病人除了实施常规的抢救措施外,还根据紧急异型输血流程,严格实施急诊异型输血,并在输血过程中严密观察病人的血压、尿液、体温、伤口渗血等的变化。 结果 38例病人中,在进到抢救室的15~20 min内得到了第一袋血液的输注,其中发生过敏反应2例；32例循环血量得到有效补充,组织供氧得到有效恢复,并被安全送至手术室或病房进一步治疗；有6例循环血量未得到有效补充、血压及组织供氧未有效恢复,其中4例死于抢救室,2例在送到相关科室后经抢救无效死亡。 结论 紧急异型输血是抢救失血性休克病人的最有效的方法之一,可以提高救治效果,改善病人预后。 |
| 英文摘要: |
| Objective To explore the value of different group blood transfusion in patients with hemorrhagic shock. Methods In the past two years,38 cases of traumatic hemorrhagic shock patients in addition to the implementation of routine rescue measures.According to the hospital developed emergency blood transfusion process,strict implementation of emergency blood transfusion.At the same time,we closely observed patients with blood pressure,urine,body temperature,wound bleeding and other changes during the blood transfusion process. Results All of the 38 patients got the first bag of blood infusion in the emergency room during of the time in 15-20 min.Allergic reactions occurred in 2 cases while 32 cases of circulating blood have been effectively added,they recovered the oxygen supply of the tissue,and they were safely sent to the operating room or ward for further treatment;6 cases of circulating blood have not been effectively added,blood pressure and tissue oxygen are not effectively recovered,of which 4 patients died in emergency room and 2 cases died after sent to the relevant departments. Conclusions Emergency blood transfusion is one of the most effective treatment methods to rescue patients with hemorrhagic shock because it can increase the treatment effect and improve the prognosis of patients. |
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