野战方舱医院成功抢救重度休克1例
People's Military Surgeon(2009)
Abstract
1 病例报告
患者男,44岁.四川汶川特大地震后196 h被救出,因严重颅脑外伤入院.查体:极度脱水、神志不清、谵妄,体温35.2℃,心率118/min,呼吸32次/min,血压70/40 mmHg,无尿,全身多处皮肤感染,左耳后有长2.0 cm,深1.5 cm伤口,周围红肿明显.初步诊断:低血容量性休克.立即启动野战方舱快速保障系统,给予吸氧5 L/min,补充血容量,多巴胺5μg(mg·min)升压,10 min后血压升至110/60 mmHg,血氧饱和度0.96以上.实验室检查:WBC 14.6×109/L,N 0.86,Hb 112 g/L,Na+152 mmol/L,K+6.32 mmol/L,Cl-117.4 mmol/L,CO2-CP 10 mmol/L,Glu 12.9 mmol/L,Cr 2 200 mmol/L.
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