摘要
目的：对失血性休克患者应用高渗氯化钠羟乙基淀粉40注射液治疗,观察临床疗效,并对该药物在应用中需注意的事项进行分析总结。方法：2005.06.01-2006.12.01间所收治的143例失血性休克患者,83例使用高渗氯化钠羟乙基淀粉40注射液治疗,60例使用传统药物治疗,并观察其神志、皮肤色泽及温度、呼吸、脉搏、血压、尿量变化,并进行分析对比,对药物应用中出现的情况或现象进行分析,来对比所用药物的作用及效果,随后辅以其他药物及方法治疗。结果：患者在用高渗氯化钠羟乙基淀粉40注射液后,神志较短时间内（5-20min）明显改善,皮肤色泽及温度趋于正常,呼吸次数减少并趋于正常,增高的脉搏次数明显下降,收缩压及舒张压有一定程度的的升高（收缩压较显著）,尿量有所增加,神志明显改善;从临床症状指标上比传统药物起效快而且疗效明确（P〈0.05）。结论：高渗氯化钠羟乙基淀粉40注射液在失血性休克患者早期应用效果明显,能够迅速提升血压,改善病人的休克状态,赢得抢救的时间,继而配合使用其他治疗,能提高体克病人的抢救成功率。
Objective： To observe and analyze the clinical systoms of Hypertonic saline hydroxyethyl starch 40 injection to hemorrhagic shok patients. And it is required to pay attention to the utilization of the drug. Methods：Analyze the situation of the 83 cases from 2006-06-01 to 2006-12-01 with Hypertonic sodium chloride hydroxyethyl starch 40 injection,observe their breathing, pulse, blood pressure, urine output and conscious change as well as application of drugs. Results： Patients generally decreased respiratory rate, pulse frequency and systolic and diastolic blood pressure were higher （more notable SBP）. Urine output has increased significantly and the consciousness had been improved. Conclusion. Excellent result was got for the patients with hemorrhagic shock after Hydroxyethyl starch 40 hypertonic saline injection. If combined with other drugs, the blood pressure was gained and increased, thereby symptoms were alleviated. For further treatment the time was gained.
出处
《河北北方学院学报（医学版）》
2007年第6期6-8,共3页
Journal of Hebei North University:Medical Edition
关键词
高渗氯化钠羟乙基淀粉40注射液
失血性休克
临床症状
Hypertonic sodium chloride hydroxyethyl starch 40 injection
Hemorrhagic
shock
clinical symptoms
