创伤合并失血性休克早期不同补液方式的急救效果观察

Observation of different fluid infusion methods in early first aid of traumatic hemorrhagic shock

目的观察创伤合并失血性休克的早期不同补液方式的急救效果。方法对80例创伤合并失血性休克早期患者按就诊时间顺序分为观察组和对照组,分别按照不同的补液方式进行急救,观察两组的急救效果。结果 80例中57例伤后就诊时间≤1 h者,死亡3例,病死率为5.26%;23例就诊时间>1 h者,死亡8例,病死率为34.78%,前者病死率低于后者(P<0.01)。观察组在30 min内、围手术期内的输液量、输血量明显大于对照组(P<0.01),生命体征改善优于对照组(P<0.05或<0.01),而病死率、并发症发生率明显低于对照组(P<0.05)。结论创伤合并失血性休克早期采用加压补液法比传统补液法效果明显为优。

Objective To investigate the effect of different fluid infusion methods in early first aid of trau-matic hemorrhagic shock .Methods Eighty patients with traumatic hemorrhagic shock were divided into observation group and control group according to visiting time .Two groups were used different fluid infusion methods for first aid . The therapeutic effects were observed in two groups .Results In 57 patients with injury treatment time ≤1 h, 3 died, the fatality rate was 5.26%, while in 23 patients with treatment time 〉1 h, 8 died, the fatality rate 34.78%, the fatality rate of the former was lower than that of the latter （ P〈0.01 ） .In the observation group , in 30 min and perioperative period , the blood transfusion volume was significantly higher than the control group （ P〈0.01 ） , the vi-tal signs′improvement was better than the control group （ P〈0.05 or P〈0.01 ） , and the fatality rate and complica-tion rate in the observation group was significantly lower than those in the control group （ P〈0.05 ） .Conclusion The pressurized fluid infusion was better than traditional fluid infusion in early first aid of patients with traumatic hemor -rhagic shock.