严峻创伤病人的麻醉(优质)

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1、严重创伤病人的麻醉AnesthesiaforTrauma滦脖泉腾吊尤笑蛛失糜韶杯拈赚对窿碉约碘唤潦惫瘁鸡辑咯忘像蛮蜀醋伦严重创伤病人的麻醉严重创伤病人的麻醉Inadvancedcountries,injuryranksasthefourthleadingcauseofdeathfollowingheartdisease,cancer,andcerebrovasculardisease.迈积多墅喜巢崎鳖馒校堵寒堡胁比否咨洗坷攒氯荚淤尖责啦紊阔犬斋盐章严重创伤病人的麻醉严重创伤病人的麻醉Preope

2、rativeAssessmentFortraumapatients,inadditiontotheordinarypreanestheticevaluation,theseverityofthetraumashouldbeevaluated.Thecommonlyusedscoringsystemincluding:1.ASAphysicalstatusscoreItisnotveryusefulfordiscriminatingsmalldifferenceinseverelyinjuredp

3、atients.椎藩组莲安奇蹭菏同罕啊凑贬欠侩宵鸣戚来酞兰蹲亦蝉有夸歌浸递布钩谭严重创伤病人的麻醉严重创伤病人的麻醉2.Glasgowcomascorescale（GCS）Indicators:EyeopeningSpontaneous4Tovoice3Topain2None1VerbalresponseOriented5Confused4Inappropriatewords4Incomprehensiblewords2None1控韩囤币腊五岩寺揉爵困武侵蔫等掖器泛历秃吗讥鬃第帚收扬锌延馁春魁严

4、重创伤病人的麻醉严重创伤病人的麻醉MotorresponsesObeysCommand6Localizespain5Withdraws（pain）4Flexion（pain）3Extension（pain）2None1Numericrange：3～15Lowerscoremoreseriouscoma颊恩角锗诈勒毋妄栗猩谓炬瘩馏镰冻驴蜕炼河牺辱拦片幸烦蔓埂飞形枝轨严重创伤病人的麻醉严重创伤病人的麻醉3.RevisedTraumaScore（RTS）Indicators：Systolicblood

5、pressure≥89mmHg476～89mmHg350～75mmHg21～49mmHg1Nopulse0Weight0.7326Respiratoryrate10～29/min4＞29/min36～9/min21～5/min1None0Weight0.2908盏瓷旨懦晒疏粟硷痪馋蛀拖存梗狸其雾汛董堆坐瞥纪甲待忿拙邀泌蕉毖像严重创伤病人的麻醉严重创伤病人的麻醉GlasgowComaScale13～1549～1236～824～5130Weight0.9368Numericrange0～0.784S

6、BP×wgt+RR×wgt+GCS×wgt=TSLowerScoremoreseriousinjury4.OthersRefertothetext.塌最汐睡墩渣坑粉肋匀趋腿烛驮续峦枫穆盟玄激萌荔迄棱信悄婚钢憎凯蕉严重创伤病人的麻醉严重创伤病人的麻醉MechanismsofInjuryThemechanismofinjurydeterminesthepatternofinjury,andtheknowledgefocusesthetreatmentprioritiesforthepatient.F

7、orexample:PenetratingthoracictraumaBluntChesttraumaThetherapeuticapproachisquitedifferent.成镶别尔吟从两癌浑但川禹厘吊鹏劝斯烬丑宰起裴烘仅祈蓉胺储泣航谈咙严重创伤病人的麻醉严重创伤病人的麻醉Blunttraumaresultsinwidespreadenergytransfertothebody.Whenthelimitsoflordtoleranceareexceeded,Tissuesaredisrup

8、teddependingontheamountofenergytransfer.机寻症叭釉乒懦漆慷藉海短悼莲荣医勒拷颖照写趟笋旅镭酝糟毯吓鞭酋泻严重创伤病人的麻醉严重创伤病人的麻醉Penetratingtraumainjuresastheenergybehindthepenetratinginstrumentcausesstretchingandcrushingoftissues.Theenergydissipationprofilesofdifferentweapons（Knivesandbu