[高血压医学论文]
【摘要】目的：探讨多发性骨折伴休克的救治措施及效果。方法：回顾性分析了2004年12月至2007年12月共64例多发骨折伴休克的临床资料。结果：本组患者均有不同程度的休克。平均ISS为30.1；死亡5人，其中死于失血性休克2例，死于血气胸的1例，死于严重颅脑损伤2例；结论：强调院前急救早期抗休克治疗及早期内固定治疗的重要性，讨论了有关严重并发伤的处理原则。
【关键词】多发性骨折；休克；救治64
【Abstract】Objective: Discusses the sending bone fracture partner to be in shock treats and cures the measure and the effect. Method: The review analyzed from December, 2004 the altogether 64 examples to send the clinical material to December, 2007 which the bone fracture partner was in shock. Result: This group of patients have the varying degree the shock. Average ISS is 30.1; Died 5 people, in which dies of the losing blood shock 2 examples, dies to the blood 1 example, dies to is seriousdamages 2 examples; Conclusion: Emphasized in front of courtyard in first aid early time anti-shock treatment and early time fixed treatment importance, discussed the related serious concurrent wound processing principle.
【Key words】Sending bone fracture; Shock; Treats and cures随着现代社会的发展，多发损伤发生率增高，多发骨折伴休克的伤员日渐增多。其特点是创伤范围广，失血量多，器官生理功能紊乱严重。我院自2004年12月~2007年12月共收治64例多发骨折伴休克的患者，临床效果满意，现分析如下：
1临床资料
1.1一般资料：本组患者64例,其中男48例,女16例,年龄12~64岁,平均26岁。致伤原因：车祸伤36例(56.3%),坠落伤18例(29.7%),砸伤2例(3.1%),挤压伤1例(1.6%),64例共有160处骨折，其中开放性骨折82处，闭……
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