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ID:5912126
大小:55.00 KB
页数:10页
时间:2017-12-28
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1、二、1、炎症:inflammation2、内脏的:Viscreal3、预计,预测:estimate4、子宫破裂:Uterinerupture5、死亡数、死亡率:mortality6、缺氧:Hypoxia7、并发症:complication8、流行性感冒:Epidemicinfluence9、常规的,一般的:regular10、腹膜炎:Peritonitis11、冠心病:coronarydisease12、生长因子:Growthfactor13、免疫接种:immunization14、胰腺炎:pencre
2、atitis15、心电图:electrocardiogram16、脊髓:spinalcord17、移植:transplantation18、心源性猝死:suddencardicdisease19、低氧:hypoxemia20、干细胞:stemcell三、1、Inthemanagementofthepregnanttraumapatient,thecriticalpointisthatresuscitationofthefetusisaccomplishedbyresuscitationofthemoth
3、er.Thereforetheinitialevaluationandtreatmentofthepregnantinjuredpatientisidenticaltothatofthenonpregnantinjuredpatient.Rapidassessmentofthematernalairway,breathing,andcirculationandensuringanadequateairwayavoidsmaternalandfetalhypoxia.Inthelaterstagesofp
4、regnancy,asalreadydescribed,uterinecompressionofthevenacavamayresultinhypotensionfromdiminishedvenousreturn,sothepregnanttraumapatientshouldbeplacedinleftlateraldecubitusposition.Ifspinalcordinjuryissuspectedthepatientmaybesecuredtoabackboardwithpregnanc
5、yhasimportantimplicationsinthetraumapatient.Signsofbloodlosssuchastachycardiaandhypotensionmaybedelayeduntilthepatientlosesnearly30%ofherbloodvolume.Asaresult,thefetusmaybeexperiencinghypoperfusionfluidresuscitationshouldbeadministeredeveninthepregnantpa
6、tientwhoisnormotensive.在处理孕期创伤病人时,关键点是胎儿的复苏能够通过母亲的复苏来实现.因此,孕期创伤病人最初的评估和治疗跟非孕期受伤病人是一样的.对孕妇气道、呼吸和循环的快速评估并确保足够的通气能够避免母婴低氧血症。在妊娠晚期,如被描述的那样,子宫压迫腔静脉使静脉回流减少可导致低血压,所以孕期创伤病人应该置于左侧卧位。如果怀疑脊髓受损,那么应该把病人固定在脊骨矫正板上后再向左侧倾斜。妊娠期血容量增加在外伤病人中是一个重要暗示。失血体征比如心动过速和低血压直到病人失血量达到全血的
7、30%才会出现。这样一来,胎儿可能在母亲出现任何征象很久之前就已经处于低灌注状态了,补液复苏甚至在血压正常的妊娠病人中也应尽早和尽快地执行。2、Postoperativesurgicalcomplicationsrepresentoneofthemostfrustratinganddifficultoccurrencesexperiencedbysurgeonswhodoasignificantvolumeofsurgery.Regardlessofhowtechnicallygifted,bright
8、,andcapableasurgeonis,surgicalcomplicationsareavirtuallyguaranteedaspectoflife.ThecostofsurgicalcomplicationsintheUnitedStatestodayrunsintomillionsofdollarsandisassociatedwithlostworkproductivity,disruptionofnormalfamilyli
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