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40例妊娠期严重创伤患者的急救治疗对策 被引量:2

Strategy of emergency treatment of 40 patients of severe trauma during pregnancy
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摘要 目的分析妊娠期严重创伤的急救治疗对策。方法选取2011年7月~2016年7月收治的妊娠期创伤患者40例,根据救治方法分为急救创伤救治组(n=20)与多科会诊救治组(n=20),分析两种救治方法的效果。结果急救创伤救治组入院至手术时间、住院时间短于多科会诊救治组(P<0.05)。急救创伤救治组并发症发生率、死亡率分别为35.00%、10.00%,多科会诊救治组分别为70.00%、40.00%,急救创伤救治组低于多科会诊救治组(P<0.05)。结论急救创伤救治给予早期液体复苏,确定原发伤,并采取手术治疗,能有效提高妊娠期创伤成功救治率。 Objective To analyze the strategy of emergency treatment of severe trauma during pregnancy. Methods A total of 40 patients of pregnancy trauma who were admitted from July 2011 to July 2016 were selected. According to the method of treatment, they were divided into the emergency and trauma treatment group (n=20) and muhidisciplinaIy treatment group (n=20). The effects of the two types of treatment methods were analyzed. Results The time from admis- sion to surgery and length of stay in the emergency and trauma treatment group were shorter than those in the multidis- ciplinary treatment group (P〈0.05). The incidence rate of complications and mortality rate were 35.00% and 10.00% in the emergency and trauma treatment group, and were 70.00% and 40.00% in the muhidisciplinary treatment group. The emergency and trauma treatment group was lower than the multidisciplinary treatment group(P〈0.05). Conclusion In the emergency and trauma treatment, early fluid resuscitation, determination of primary injury, and surgical treatment are able to effectively improve the success rate of trauma treatment during pregnancy.
出处 《中国现代医生》 2017年第2期50-52,55,共4页 China Modern Doctor
基金 浙江省医药卫生科技计划项目(2016ZHB024)
关键词 急救治疗 妊娠期创伤 会诊 脏器损伤 原发伤 Emergency treatment Pregnancy trauma Consultation Organ injury Primary injury
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