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战伤休克的液体复苏进展

发布时间:2018-07-07 19:13

  本文选题:战伤 + 休克 ; 参考:《解放军医学杂志》2005年07期


【摘要】:一般战伤,休克的发生率为10%~15%,未来高技术局部战争,休克的发生率可高达25%~30%。约50%的战伤伤员因失血休克而死,所以战(创)伤休克伤员的早期救治非常重要。近年来随着对休克病理生理、发病机制、组织体液及氧代谢研究的不断深入,世界各国(包括军队)在战(创)伤休克的液体复苏时机、早期液体复苏方法与原则、复苏终点与标准,以及复苏液体的选择上作了许多有益探索,提出了许多新的观点和概念。本文重点对这方面的进展作一概述。
[Abstract]:In general, the incidence of shock is 10%. In the future high-tech local war, the incidence of shock can be as high as 25%. About 50% of the wounded died of hemorrhagic shock, so the early treatment of the wounded is very important. In recent years, with the deepening of the research on pathophysiology, pathogenesis, tissue fluid and oxygen metabolism of shock, the fluid resuscitation time, the methods and principles of early fluid resuscitation in the world (including the military) in battle (wound) shock have been studied. The end point and standard of resuscitation as well as the choice of resuscitation liquid have been explored and many new ideas and concepts have been put forward. This paper focuses on a summary of the progress in this area.
【作者单位】: 第三军医大学大坪医院野战外科研究所第二研究室
【分类号】:R82

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