摘要
创伤后早期监护重点是对血容量及脏器血液灌流做出评估 ,对创伤性休克的程度做出判断。本文对习用的心率、血压、尿量、中心静脉压等监护参数的临床意义从理论及经验上进行了分析。着重指出老年人创伤后早期循环状态不良的主要原因仍是低血容量 ,但需要与心功能不全鉴别。
The initial monitoring in trauma patients is to evaluate blood volume or the presence of visceral perfusion,and to assess the severity of traumatic shock.The importance of routine monit of heart rate,blood pressure,urinary output and central venous pressure is discussed in this paper.It is important to recognize the circulatory dysfunction in the elderly trauma patients may be primarily caused by hypovolemia,but to differentiate it from cardiac insufficiency may be necessary.
出处
《创伤外科杂志》
2004年第5期399-400,F003,共3页
Journal of Traumatic Surgery
关键词
创伤
监护
低血容量
trauma
monitoring
hypovolemia
