摘要
目的:评价限制性液体复苏在严重多发失血性休克救治中的作用。方法:对88例多发创伤合并失血性休克的患者随机分为两组,观察组(n=48)在创伤失血性休克出血未控制前行限制性液体复苏,对照组(n=40)则进行常规行充分液体复苏。比较两组的液体摄入量、输血量、收缩压、术前复苏时间;住院期间急性呼吸窘迫综合征(ARDS)、急性肾功能衰竭(ARF)、弥漫性血管内凝血(DIC)、脓毒血症的发生率和总死亡率。结果:观察组的液体输入量和术前复苏时间均低于对照组,差异有显著性(P<0.05);两组输血量和收缩压差异无显著性。观察组ARDS、脓毒血症的发生率和总死亡率均明显低于对照组,差异有显著性(P<0.05)。结论:在创伤性休克术前未控制性出血条件下,限制性液体复苏可缩短术前复苏时间,明显降低并发症的发生率和死亡率。
Objective：To evaluate the role of limited fluid resuscitation in the treatment of severe multiple hemorrhagic shock.Methods：eighty-eight cases of multiple injury and hemorrhagic shock were divided into two groups randomly,limited fluid resuscitation was given to observation group before injury hemorrhagic shock bleeding was not controlled,conventional and sufficient fluid resuscitation were given to control group.Fluid intake,transfusion volume,systolic pressure,preoperative recovery time,acute respiratory distress syndrome in hospitalization period,acute renal failure,disseminated intravascular,the incidence and total mortality of sepsis were compared in two groups.Result：：Fluid intake and preoperative recovery time in observation group was both less than that in control group,the differences were significan（tP0.05）,there were no significant differences in transfusion volume and systolic pressure,the acute respiratory distress syndrome and the incidence and total mortality of sepsis in observation group were both less than that in control group,the differences were significan（tP0.05）.Conclusion：If the injury shock preoperative bleeding was not controlled,limited fluid resuscitation can short the preoperative recovery time and decrease the incidence and mortality of complication significantly.
出处
《现代生物医学进展》
CAS
2010年第13期2462-2464,共3页
Progress in Modern Biomedicine
关键词
创伤
休克
液体复苏
injury
shock
fluid resuscitation
