ISSN 2096-7446　CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 ›› 2023, Vol. 4 ›› Issue (12): 1112-1115.doi: 10.3761/j.issn.2096-7446.2023.12.009

• 急症护理研究 • 上一篇    下一篇

严重腹部挤压伤患者急诊行复苏性主动脉球囊阻断联合剖腹探查的护理

丁幼芽 王飒 闫丹萍 王钰炜   

  • 出版日期:2023-12-10 发布日期:2023-12-21

Nursing care of a trauma patient undergoing exploratory laparotomy within the trauma recovery unit under resuscitation balloon occlusion

DING Youya，WANG Sa，YAN Danping，WANG Yuwei   

  • Online:2023-12-10 Published:2023-12-21

摘要： 总结1例创伤失血性休克患者在复苏性主动脉球囊阻断下创伤复苏单元内行剖腹探查的急救护理体会。 针对创伤失血性休克患者的生命体征无法维持、病情进展迅速、需缩短术前准备时间、减少转运风险等问题，在急诊创伤复苏单元内，采取复苏性主动脉球囊阻断下行剖腹探查术。经对症治疗护理后，患者生命体征趋于平稳，转监护室进一步治疗15 d后转当地医院康复治疗。 出院后随访3个月，患者恢复良好。

关键词: 多处创伤, 休克, 出血性, 主动脉内气囊泵, 剖腹术, 急症护理

Abstract: To summarize the emergency nursing experience of a patient with traumatic hemorrhagic shock who underwent exploratory laparotomy within the trauma recovery unit under resuscitation balloon occlusion. In response to issues such as the inability to maintain vital signs，rapid progression of the condition，the need to shorten preoperative preparation time and reduce transport risks in patients with traumatic hemorrhagic shock，exploratory laparotomy with resuscitation balloon occlusion was performed in the emergency trauma recovery unit. After symptomatic treatment and nursing，the patient’s vital signs tended to be stable，and was transferred to the intensive care unit for further treatment for 15 days before being transferred to the local hospital for rehabilitation. After discharge，the patient was followed up for 3 months and recovered well.

Key words: Multiple Trauma, Shock, Hemorrhagic, Intra-Aortic Balloon Pumping, Laparotomy, Emergency Nursing