NON-CAVITARY HEMORRHAGE PRODUCING SHOCK IN TRAUMA PATIENTS - INCIDENCE AND SEVERITY
NON-CAVITARY HEMORRHAGE PRODUCING SHOCK IN TRAUMA PATIENTS - INCIDENCE AND SEVERITY
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DOI：
10.1097/00005373-198902000-00012
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发表时间：
1989-02-01
影响因子：
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通讯作者：
SHACKFORD, SR
中科院分区：
文献类型：
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作者：
PEDOWITZ, RA;SHACKFORD, SR
腹腔内和胸腔内出血，腔出血（CH），被认为是创伤患者低血容量性休克的主要原因。骨折和撕裂伤失血，即非空腔出血（NCH），不被认为是休克的常见原因。在12个月内入院的466名创伤患者中，没有脊髓损伤、烧伤或正在进行心肺复苏，其中13.1%的患者因低血容量休克入院。在这466名患者中，55.7%的患者有严格的非空腔性失血来源，最常见的是长骨骨折和皮肤撕裂伤。CH和NCH引起的低血容量性休克患者的复苏液体需求、发病率或死亡率无显著差异。NCH失血必须被认为是创伤患者低血容量性休克的重要来源。
Intraperitoneal and intrathoracic bleeding, cavitary hemorrhage (CH), are recognized as major causes of hypovolemic shock in trauma patients. blood loss from fractures and lacerations, non-cavitary hemorrhage (NCH), is not considered a common cause of shock. Of 466 trauma patients admitted during a 12-month period without spinal cord injury, burns, or ongoing CPR, 13.1% were admitted in hypovolemic shock. Of these 466 patients 55.7% had strictly non-cavitary sources of blood loss, most commonly long bone fractures and skin lacerations. There was no significant difference in the resuscitative fluid requirements, morbidity, or mortality between patients presenting in hypovolemic shock due to CH and NCH. Blood loss from NCH must be recognized as a significant source of hypovolemic shock in trauma patients.