中国实用外科杂志

中国实用外科杂志

• 普通外科进展 • 上一篇    下一篇

创伤出血性休克治疗进展

丁威威，朱维铭   

  1. 中国人民解放军南京总医院普通外科  南京大学医学院金陵医院普通外科，江苏南京210002
  • 出版日期:2018-01-01 发布日期:2018-01-17

  • Online:2018-01-01 Published:2018-01-17

摘要：

失血性休克是创伤病人的主要致死原因，随着对创伤失血性休克病理生理学认识的加深，临床诊断和治疗水平不断进步，越来越多以往无法挽救的严重创伤病人得到更好的康复。外科医生除掌握手术止血技术外，须加强对其病理生理学的认识和学习，才能在临床实践的基础上，熟练掌握复苏液体、复苏目标、复苏各种药物等外科危重症处理相关的知识。

关键词: 创伤, 失血性休克, 液体复苏, 允许性低血压, 血管活性药物

Abstract:

New advances in the treatments of traumatic hemorrhagic shock        DING Wei-wei, ZHU Wei-ming. Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China
Corresponding author: ZHU Wei-ming, E-mail：juwiming@126.com
Abstract    Trauma remains the leading cause of mortality. With the development of new devices and new drugs， more severe trauma patients got more advanced treatments and survived from lethal disasters. In addition to surgical hemostatic techniques， knowledge of new advances about the pathophysiology of traumatic hemorrhagic shock should also be well mastered by surgeons. This can help us be expert in critical illness.

Key words: trauma, hemorrhagic shock, fluid resuscitation, controlled hypotension, vasopressor agents