摘要
目的对严重多发伤失血性休克患者采用限制性液体复苏的临床观察进行分析。方法选取2014年6月1日到2018年6月30日期间收治的206例严重多发伤失血性休克患者,随机分为对照组(n=103)与观察组(n=103),对照组施以常规液体复苏,观察组采用限制性液体复苏。对两组患者治疗方式的临床疗效进行比较。结果观察组复苏后乳酸、HCT、BE指标、输液量、MAP、病死率、并发症发生率均优于对照组,差异有统计学意义(P<0.05)。结论在严重多发伤失血性休克患者中应用限制性液体复苏具有显著临床效果,可以降低病死率,改善患者预后,值得推广。
Objective To analyze the clinical observation of restrictive fluid resuscitation in patients with severe multiple traumatic hemorrhagic shock.Methods A total of 206 patients with severe multiple traumatic hemorrhagic shock who were admitted between June 1,2014 and June 30,2018 were randomly divided into control group(n=103)and observation group(n=103).With conventional fluid resuscitation,the observation group was treated with restrictive fluid resuscitation.The clinical efficacy of the treatment modalities was compared between the two groups.Results after resuscitation,the levels of HCTBE,MAPP,fatality rate and complication rate in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Restrictive fluid resuscitation in patients with severe multiple traumatic hemorrhagic shock has significant clinical effects,which can reduce the mortality rate and improve the prognosis of patients,which is worthy of promotion.
作者
黄伟生
夏结婷
HUANG Wei-sheng;XIA Jie-ting(Emergency Department,Sanshui District People's Hospital,Foshan,Guangdong 528100,China)
出处
《中国国境卫生检疫杂志》
CAS
2020年第S01期31-32,共2页
Chinese Journal of Frontier Health and Quarantine
基金
佛山市自筹经费类科技计划项目(2017AB001265)。
关键词
严重多发伤
失血性休克
限制性液体复苏
Severe multiple trauma
Hemorrhagic shock
Restrictive fluid resuscitation
