未控制出血的创伤性失血性休克的液体复苏

Limited fluid resuscitation after uncontrolled hemorrhagic traumatic shock

目的探讨未控制出血的创伤性失血性休克(hemorrhagictraumaticshock,HTS)的液体复苏治疗方法。方法回顾性分析我院134例未控制出血的HTS患者的液体复苏方法,比较常规液体复苏(n=78)与限制性液体复苏(n=56)两种方法的治愈率、多器官功能衰竭(MODS)、急性呼吸窘迫综合症(ARDS)的发生率及死亡率。结果常规液体复苏组治愈率为61.5%,死亡率为38.5%,ARDS发生率为25.6%,MODS发生率为36.0%。限制性液体复苏组,治愈率为78.6%,死亡率为21.4%,ARDS发生率为9.0%,MODS发生率为18.9%。组间比较均有统计学意义(P<0.05)。结论限制性液体复苏治疗能减少未控制出血的HTS患者MODS和ARDS的发生率,提高其治愈率。

[Objective] To explore the effect of limited fluid resuscitation in a mode of uncontrolled hemorrhagic traumatic shock. [Method] 134 patients were retrospectively analyzed and compare healing rate,incidence of MODS and ARDS and mortality rate between regular fluid resuscitation group （n=78） and limited fluid resuscitation group （n=56）. [Result] Survival rate of regular fluid resuscitation group was 61.5 percent .Mortality rate was 38.5%. Inci- dence of MODS was 36.0%. Incidence of ARDS was 25.6 %. Survival rate of limited fluid resuscitation group was 78.6 %.Mortality rate was 21.4%. Incidence of MODS was 18.9 %. Incidence of ARDS was 9.0%. It was significance between two groops （P 〈0.05）. [Conclusion] Limited fluid resuscitation is more rational to improve the prognosis in case with uncontrolled traumatic shock than regular fluid resuscitation.