文档介绍：Foley导尿管在颅底骨折伴失血性休克中的应用
(作者:___________单位: ___________邮编: ___________)
王黎鹏骆建军吴建义苏东泉姚远
【摘要】目的探讨Foley导尿管在颅底骨折伴失血性休克中的应用。方法将63例本院急诊收治颅底骨折伴有失血性休克病例随机分为对照组(n=32)和Foley组(n=31)。Foley组31例,入院后给予建立静脉通道、补液扩容等生命支持治疗,通过Foley导尿管压迫止血;对照组32例,入院后予以建立静脉通道、补液扩容等生命支持治疗,通过后鼻道填塞压迫止血。分别对颅底骨折伴失血性休克患者在止血时间、止血效果、感染机会、抢救成功率予以评估。结果 Foley组较对照组在止血时间上优势明显,感染机会、抢救成功率与对照组比较差异有显著性(),止血效果上差异无显著性()。结论 Foley导尿管在颅底骨折伴失血性休克抢救中,操作简单,疗效确切,为下一步治疗赢得宝贵时间,值得进一步实施和推广。
【关键词】颅底骨折;失血性休克;Foley导尿管
[Abstract] Objective To explore the Foley catheters in skull fracture with uncontrolled hemorrhagic 32 cases were treated with the skull fracture hospital emergency patients were randomly divided into uncontrolled hemorrhagic shock group (n = 32) and Foley group (n = 31) .Foley group 31 cases, after admission to establish intravenous route, rehydration expansion life-sustaining treatment etc, bleeding through Foley catheters oppression hemostatic, 32 cases, after admission control shall be established vein, rehydration expansion life-sustaining treatment etc, bleeding after nasal stuffiness oppression by word bleeding. The skull fracture of bleeding in patients with uncontrolled hemorrhagic shock, hemostatic effect, infection, assess the Foley group have obvious advantages than the control group in the hemostasis time, the chances of infection, the essful rescue rate (), there was no si