Special attention should be given to several problems in trauma care, those are as following. The policy oi "scoop and.run" can not be simply imitated, in pre-hospital care, but"stay and play" is required frequently with, higher medical technique in the scene based on the situation of our country, The diagnostic terms need standardization. Modern diagnostic techniques should be utilized adequately,providing the patients hemodynamics is stable. AIS-ISS and OIS( organ injury scale) can't be ignored. It is a mirage,that the operation is performed till observing hemodynamics improvement. To correct shock state,urgent surgical intervention for hemostasis is a critical measure. The strategy of limited fluid resuscitation is a wise option to deal with uncontrolled hemorrhagic shock. When "lethal triad" ( coagulopathy,hypothermia,acidosis) develops, damage control surgery (DCS) program is selected to manage such patients.%创伤急救中应特别注意以下几个问题:院前急救不可盲目模仿国外"拉着就跑"(scoop and run),我国很多情况下仍需较高水平的"就地抢救"(stay and play).诊断分类名称应规范;血流动力学稳定的病人充分运用现代诊断技术;创伤评分和器官损伤定级是诊断的重要内容.切忌指望休克纠正再手术,分秒必争手术止血才是最根本的抗休克措施;非控制性失血休克止血前遵循"限制性液体复苏"策略;并发"致死三联征"(凝血病、低体温、酸中毒)时,创伤救治采用"损害控制外科"原则.
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