高渗盐水+胶体液对低血容量性休克急救的临床观察

Clinical Observation of Hypertonic Saline Combined Colloidal Solution to Rescue Hypovolemic Shock

目的：探讨基层医院低血容量性休克患者早期抗休克治疗的液体复苏措施。方法：将213例低血容量性休克患者随机分成高渗盐液＋胶体液组（治疗组）和平衡液＋胶体液复苏组（对照组），对比两组疗效。结果：治疗组血压5min内上升，10～15min恢复正常，与对照组比较差异有统计学意义（尸〈O．05）。治疗前后作钾、钠、氯测定，两组比较差异无统计学意义（P〉O．05）。结论：高渗盐液＋胶体液对低血容量性休克早期复苏具有作用早、速度快、效果确切，且用量小、安全性大、并发症少等优点，值得在基层医院大力推广.

Objective ：To investigate the fluid resuscitation measures of the early anti-shock therapy in patients with hypovolemic shock in basic-level hospital.Methods ：213 patients with hypovolemic shock were randomly divided into two groups ： hypertonic saline combined colloidal solution group（treatment group） and balance liquid combined colloidal solution group（control group）, comparing the effect oftwo groups.Results ：Treatment group ： the blood pressure rose within 5 minutes and reached to normal level within 10-15 minutes.The difference was statistically significant between treatment group and control group（P〈0.05）. Serum K^＋. Na^＋and C1- level were determination in before and after treatment, and there was no statistical significance between treatment group and control group（P〉0.05）.Conclusion ：Hypertonic saline combined colloidal solution for the early anti-shock therapy of hypovolemic shock has early, fast, exact effect, and the dosage is small, safe and less complications advantages, it is worth in basic-level hospitals to vigorously promote.