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有限液体复苏治疗创伤失血性休克的疗效分析 被引量:1

Analysis on the Efficacy of Limited Fluid Resuscitation of Traumatic Hemorrhagic Shock
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摘要 目的探讨有限液体复苏在创伤失血性休克中的应用效果。方法选择2011年1月至2013年12月我院收治的48例创伤合并活动性失血性休克患者,按随机表随机分为有限复苏组和传统复苏组各24例。所有患者均进行液体复苏,有限复苏组使收缩压上升至80 mm Hg,传统复苏组收缩压上升至90 mm Hg,并分别维持该血压水平。比较两组液体输入量、输血量、血红蛋白含量、急性肾功能衰竭发生率和死亡率。结果与传统复苏组相比,有限复苏组的总输液量、红细胞输入量较少,住院费用较低,差异有统计学意义(P<0.05),住院期间两组患者中急性肾功能衰竭的发生率和死亡率差异无统计学意义(P>0.05)。结论对于失血性休克,在有效止血前先进行有限液体复苏,维持收缩压在80 mm Hg即可。 Objective To explore the effects of limited fluid resuscitation in traumatic hemorrhagic shock. Methods Forty-eight patients with trauma complicated with activity hemorrhagic shock in our hospital from January 2011 to December 2013 were selected in this study and randomly divided into limited resuscitation group and conventional resuscitation group, with 24 cases in each group. The systolic pressure was up to 80 mm Hg in limited resuscitation group, and systolic pressure was up to 90 mm Hg in conventional resuscitation group.The volume of liquid input, amount of blood transfusion, hemoglobin level, incidence of acute renal failure, and mortality were compared between two groups. Results Compared with conventional resuscitation group, the limited resuscitation group had fewer total infusion volume and amount of red blood cells transfusion, and lower hospital cost, and the differences between two groups were statistically significant(P〉0.05). There were no statistically significant differences between two groups in the incidence of acute renal failure and mortality(P〈0.05).Conclusions Limited fluid resuscitation for traumatic hemorrhagic shock, maintaining systolic blood pressure at 80 mm Hg before effective hemostatic is enough.
作者 陈绵展
出处 《临床医学工程》 2015年第3期301-302,共2页 Clinical Medicine & Engineering
关键词 复苏术 创伤 休克 Resuscitation Trauma Shock
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