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| 重度颅脑损伤合并失血性休克的急诊室救治 |
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陈卫东1, 顾文佳2
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1.大连医科大学,第一临床学院神经外科,辽宁,大连,116011;2.中国医科大学83,K七年制,辽宁,沈阳,110005
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| 摘要: |
| [目的] 回顾12例重度颅脑损伤,合并失血性休克患者的急诊室抢救.[方法] 采用甘露醇颈动脉输注及高渗盐水静脉输注,边降低颅压边抗休克.[结果] 入院24 h内仅1例患者死亡.最终死亡率为58.3%.[结论] 甘露醇颈动脉输注及高渗盐水静脉输注应成为重度颅脑损伤合并失血性休克早期救治的首选方案. |
| 关键词: 颅脑损伤 失血性休克 高渗盐水 甘露醇 |
| DOI：10.11724/jdmu.2002.03.10 |
| 分类号:R651.1+5 |
| 基金项目: |
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| Resuscitation of patients with severe head injury and hemorrhagic shock in emergency |
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CHEN Wei-dong1, GU Wen-jia2
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1.Department of Neurosurgery，the First Affiliated Hospital of Dalian Medial University，Dalian 116011,China;2.China Medical University Shenyang110005, China
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| Abstract: |
| The authors reviewe resuscitation of 12 patients with severe head injury and hemorrhagic shock in emergency. ［Method］ Application hypertonic saline and intracranial infusion of mannitol to such cases. ［Result］ There were favorable effects on both systemic hemodynamics and intracranial pressure. ［Conclusion］ The authors recommend hypertonic saline and intracranial infusion as first line therapy for such cases on the basis of only one died with in 24 hours after admission |
| Key words: head injury hemorrhagic shock hypertonic saline mannitol |