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限制性液体复苏在食管胃底静脉曲张破裂致失血性休克中的应用 被引量:1

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摘要 目的:探讨限制性液体复苏与积极液体复苏在肝硬化食管胃底静脉曲张破裂致失血性休克中的临床效果和意义。方法:肝硬化食管胃底静脉曲张破裂致失血性休克患者107例,随机采用限制性液体复苏组(限制组)54例,积极液体复苏组(积极组)53例,对两组患者红细胞压积、乳酸、碱剩余、凝血酶原时间以及输入液体量、病死率进行统计学比较。结果:24小时输液量限制组输液量为(2310±469)m L,积极组输液量为(3105±665)m L,限制组病死率为22.64%,积极组病死率9.26%,两组的输液量与病死率差异均有统计学意义(P<0.05);复苏后两组红细胞压积、乳酸、碱剩余差异均有统计学意义(P<0.05)。结论:限制性液体复苏治疗肝硬化食管胃底静脉曲张破裂致失血性休克,可有效维持重要脏器的血液灌注,改善组织氧供,降低病死率。
出处 《交通医学》 2016年第1期58-59,63,共3页 Medical Journal of Communications
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参考文献7

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