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损害控制性复苏在高原创伤失血性休克伴颅脑损伤的应用

王海莹, 张进进, 陈立力, 刘小星, 陈冲, 邢颜超*

摘要

目的探讨高原地区创伤失血性休克并伴有颅脑损伤患者的损害控制性复苏策略。方法通过对高原地区1例作业过程中发生左上臂电锯切割伤并伴有颅脑损伤患者损害控制性复苏过程进行分析，结合救治难点及相关研究进展，探讨高原地区创伤失血性休克并伴有颅脑损伤患者的损害控制性复苏策略。结果根据患者临床体征判断出血情况，及时进行外科手术止血及合理液体复苏，完成损害控制性复苏，为患者后送进行系统治疗提供了有力支撑。结论创伤失血性休克并伴有颅脑损伤患者进行有效的损害控制性复苏，有效止血并维持患者生命体征平稳，保障患者后送及继续治疗，可有效改善患者临床结局。

关键词

高原地区；创伤失血；休克；颅脑损伤；血液输注

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参考

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