摘要
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.
出处
《中外医学研究》
2012年第23期13-15,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
低血容量性休克
高渗盐水
胶体液
Hypovolemic shock
Hypertonic saline
Colloidal solution