摘要
目的:探讨早期低压液体复苏对创伤性休克的治疗效果。方法:回顾性分析2003年7月～2006年10月我院急诊科160例创伤性休克患者早期采用低压和正压液体复苏的救治效果,以及两种方法对Hb、PT、PLT、Hct的影响。结果:160例创伤性休克患者中,早期低压复苏组死亡率20.73%,正压复苏组死亡率37.18%,其中以1～2h内两组间死亡率有显著差异(P<0.05),两组间的实验室指标比较有显著差异性(P<0.05)。结论:早期低压液体复苏可降低创伤性休克患者的死亡率,其中休克后1～2h内控制输液量是救治的关键。
Objective： To investigate the effect of hypotensive fluid resuscitation to traumatic hemorrhagic shock. Methods： 160 patients with traumatic hemorrhagic shock between Jul. 2003 and Oct. 2006 were analyzed retrospectively, the therapeutic effects and laboratory index of the normotensive and hypotensive fluid resuscitation about traumatic hemorrhagic shock was summarised. Result： The traumatic shock mortality of normotensive resuscitation group was higher than that of hypotensive resuscitation group from 1 h to 2 h （P 〈 0.05）. The levels of Hb, PT, PLT and Hot of normotensive resuscitation group were significantly lower than those of hypotensive resuscitation group （P 〈 0.05）. Conclusion： Hypotensive fluid resuscitation can reduce the mortality of traumatic hemorrhagic shock, and controlling transfusion volume from lh to 2h was the key for cure.
出处
《岭南急诊医学杂志》
2006年第6期401-402,439,共3页
Lingnan Journal of Emergency Medicine
关键词
创伤性休克
低压复苏
正压复苏
traumatic shock
hypotensive resuscitation
normotensive resuscitation
