摘要
目的 :探讨液体复苏对创伤性休克患者的救治效果。方法 :回顾性总结 1 989年 1月— 2 0 0 2年 1 2月我院急诊科 2 5 6例严重创伤患者来院 1 h内液体复苏与创伤性休克预后的量效关系。结果 :2 5 6例创伤性休克患者中复苏成功率为 73.0 5 % (1 87例 ) ,创伤病死率为 2 6 .95 % (6 9例 )。创伤后 1 h内复苏液体量≤ 1 L 者存活率为 5 2 .2 7% ,1 .5～ 2 .0 L 者存活率为 75 .90 % ,≥ 2 .0 L 者存活率为 78.2 9%。轻度休克者存活率为 86 .79% ,中度休克者存活率为 80 .34% ,重度休克者存活率为 5 4 .6 5 %。结论 :严重创伤、重度休克、长时间低血压非正确休克复苏是影响休克救治效果的主要因素 ;早期合理地扩容 ,把握创伤后第 1 h黄金时刻 ,是复苏成功的关键 ;而稳定血流动力学。
Objective: To investigate fluid resuscitation affecting the result of treatment of patients with traumatic shock. Methods: Two hundred and fiftysix cases of patients with traumatic shock treated in our hospital between January 1989 and December 2002 were analysed retrospectively, and the volumeeffect relationship between fluid resuscitation during the first hour and future of traumatic shock was summarised . Results : The successful rate of resuscitation was 73 05 percent(187 cases), and traumatic mortality was 26 95 percent ( 69 cases ). After 1hour trauma, the survival rate was 52 27 percent in patients with 1 liter of resuscitation fluid , 75 90 percent in patients with 1 52 0 liter of resusictation fluid, and 78 29 percent of more than 2 0 liter resuscitation fluid, 86 79 percent in mild shock, 80 34 percent in middle shock and 54 65 percent in severe shock. Conclusion: Severe trauma and shock, hypotension and incorrect resuscitation manipuation are the main factors affecting the result of resuscitation and treatment of traumatic shock. It is important to early and correctly expand, especially at the first hour. The aim of resuscitation of traumatic shock is to maintain the hemodynamics and correct O 2 defect.
出处
《中国危重病急救医学》
CAS
CSCD
2003年第12期739-741,共3页
Chinese Critical Care Medicine
基金
军队"十五"计划面上项目基金资助 ( 0 1YM14 )
关键词
创伤性休克
液体复苏
traumatic shock
fluid resuscitation
