【摘要】 目的探讨创伤性纵隔血肿的观察和护理。方法回顾性分析该院创伤科2006年7月至2016年5月收治的44例纵隔血肿患者的临床资料。结果患者治愈40例,死亡4例(9%),1例死于术后消耗性凝血障碍,1例死于急性冠脉综合征,2例因严重多发伤死于创伤性失血性休克。结论及时诊断和处理心脏和胸腔内大血管损伤是挽救患者生命的关键;护理重点为观察血肿的进展,采用控制性降压、限制性液体复苏和正确选择输液途径等综合治疗护理措施预防血肿的扩大和破裂。更多还原

【Abstract】 Objective To explore the observation and nursing of traumatic mediastinal hematoma.Methods The clinical data in 44 cases of mediastinal hematoma treated in our department from July 2006 to May 2016 were analyzed retrospectively.ResultsForty cases were cured,4cases(9%)died,the mortality rate was 9%,in which 1case died from postoperative consumptive coagulopathy,1case died from acute coronary syndrome and 2cases died from traumatic hemorrhagic shock.Conclusion Timely diagnosis and treatment of intrathoracic cardiac and vascular injury are the key to save the lives of patients;the nursing focuses include observing the hematoma progress,adopting the comprehensive treatment measures such as controlled hypotension,limited fluid resuscitation and correctly selecting infusion approach for preventing hematoma enlargement and rupture.更多还原