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Study of limited fluid resuscitation in the treatment of hemorrhagic traumatic shock
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- Author:
- No author available
- Journal Title:
- CHINA MEDICINE
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1673-4777.2007.04.015
- Key Word:
- 创伤失血性休克;限制性液体复苏
Abstract： 目的 研究限制性液体复苏在创伤出血性休克急救中的实用价值.方法 选择创伤出血性休克患者出血未控制前行充分液体复苏90例为对照组,创伤出血性休克出血未控制前行限制性液体复苏患者86例为研究组.记录入院到出血未控制前的病死率、出血控制后24 h的病死率及总病死率,记录并发症发生率,并随访患者直至出院或死亡.结果 研究组入院到出血未控制前死亡2例(2.33%);出血控制后24 h死亡3例(3.49%);总死亡7例(8.14%).术后DIC 7例、多器官功能衰竭(MODS)1例,并发症发生率9.30%.对照组入院到出血未控制前死亡6例(6.67%);出血控制后24 h死亡4例(4.44%);总死亡13例(14.44%).术后并发症急性呼吸窘迫综合征(ARDS)1例、DIC 8例、MODS 2例、脓毒血症2例,共13例,发生率14.44%.研究组入院到出血未控制前的病死率、出血控制后24 h的病死率及总病死率均低于对照组(P＜0.05),研究组并发症发生率低于对照组(P＜0.05).结论 限制性液体复苏能降低创伤失血性休克的病死率及并发症发生率,在创伤出血性休克的急救中具有实际应用价值.
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