重症胸部创伤并创伤性休克的急诊手术护理

胡岸涛，朱雪荣

（西安市第一医院，陕西 西安，710003）

浏览次数：81次 下载次数：422次

摘要：

目的 分析重症胸部创伤并创伤性休克的急诊手术护理。方法 随机选取2013年1月1日至2013年12月31日我院收治的30例重症胸部创伤并创伤性休克患者作为对照组，另选取2014 年1月1日至2014年12月31日收治的30例患者作为试验组。给予对照组患者传统急诊护理，给予试验组患者优化急诊手术护理。比较两组患者的护理结果。结果 试验组的康复率为90.00%，高于对照组的53.33%（P<0.05）；试验组的死亡率为3.33%，低于对照组的33.33%（P<0.05）；试验组的护理满意度为96.67%，优于对照组的73.33%（P<0.05）。结论 急诊手术护理可提高重症胸部创伤并创伤性休克患者的康复率，降低患者的死亡率，提高患者的护理满意度，值得临床应用。

关键词：重症胸部创伤；创伤性休克；急诊手术护理

中图分类号：R472.3文献标志码：A文章编号：2096-1413(2017)27-0155-02

Emergency operation nursing of severe chest trauma and traumatic shock
HU An-tao, ZHU Xue-rong
(Xi``an No.1 Hospital, Xi``an 710003, China)

ABSTRACT: Objective To analyze the emergency operation nursing on severe thoracic trauma and traumatic shock. Methods Thirty cases of patients with severe chest trauma and traumatic shock in our hospital from January 1, 2013 to December 31, 2013 were enrolled in the control group, while 30 cases of patients from January 1, 2014 to December 31, 2014 were enrolled in the trial group. Patients in the control group were given traditional emergency care, while patients in the trial group were given emergency surgery care, and the nursing results of the two groups were compared. Results The rehabilitation rate of the trial group was 90.00%, which was higher than 53.33% of the control group (P<0.05). The mortality rate of the trial group was 3.33%, which was lower than 33.33% of the control group (P<0.05). The satisfaction rate of the trial group was 96.67% , which was higher than 73.33% of the control group (P<0.05). Conclusion The emergency operation nursing on severe thoracic trauma and traumatic shock can improve the rehabilitation rate of patients, and reduce the mortality rate as well as improve satisfaction rate of the patients, which is worthy of clinical application.
KEYWORDS: severe chest trauma; traumatic shock; emergency operation nursing

参考文献：
[1] 刘艳玲.创伤性休克68 例急诊护理观察[J].基层医学论坛,2013,40(9):1101-1102.
[2] 王红艳.严重胸部创伤并发ARDS 的急诊救护[J].现代中西医结合 杂志,2010,19(30):3320-3321.
[3] 张松.重症胸部创伤救治体会60 例[J].中国社区医师:医学专业,2012,14(9):104.
[4] 缑丙富.重症胸部创伤并创伤性休克25 例的急诊手术分析[J].中 外医学研究，2012,10(13):137-138.
[5] 陈华.急诊手术治疗重症胸部创伤并休克患者30 例临床研究[J].中 国基层医药,2011,18(20):2843-2844.
[6] 马飞,常捷芳.急诊手术治疗重症胸部创伤并创伤性休克临床探析 [J].中国现代药物应用,2013,7(7):29-30.
[7] 闫敏.急诊抢救62 例创伤性休克的护理体会[J].医学信息旬刊,2010,23(5):186-187.
[8] 郭艳.创伤性休克患者的手术室护理[J].临床医学,2012,32(7):126.
[9] 张海波.快速急诊抢救32例创伤性休克的护理分析[J].中国中医 药咨讯,2010,2(30):12.
[10] 黄磊.创伤性休克患者的急救护理[J].现代医药卫生,2011,27(15):2351-2352.
[11] 李海燕,占绘华.创伤性休克急救护理体会[J].中国医药导报,2010,7(27):93.
[12] 邓碧霞.创伤性休克病人在手术室的临床急救护理[J].当代医学,2011,17(22):117-118.
[13] 殷晓红.重症胸部创伤并创伤性休克的急诊手术护理[J].中国实用医药,2014,14(30):218-219.
[14] 张健.急诊手术治疗重症胸部创伤并创伤性休克临床探析[J].吉林医学,2014,7(32):7237.