小儿脓毒血症休克的有效液体复苏治疗方法及效果

Effective Liquid Resuscitation for Septic Shock in Children and its Effect

目的探究小儿脓毒血症休克的有效液体复苏治疗效果及方法。方法选取本院2014年3月—2015年3月所收治的脓毒血症休克患儿80例,将这些患儿分为观察组和对照组,每组40例,观察组患儿在单纯晶体液复苏的基础上实施白蛋白联合治疗措施,对照组采取单纯晶体液复苏措施,比较两组患儿的血乳酸水平、第1小时液体输注量、循环稳定时间、住院时间及肺水肿发生情况。结果观察组患儿在住院时间、血乳酸水平、循环稳定时间等等指标都优于对照组,比较具有统计学意义(P<0.05)。结论在小儿脓毒血症休克的患儿中实施有效液体复苏的治疗方案,能够有效缩短患儿的住院时间,稳定患儿的病情,提高了患儿抢救的成功机会。

Objective To investigate the effect and method of effectivefluid resuscitation on septic shock in children. Methods 80 cases of septic shock in our hospital from March 2014 to March 2015 were selected. The children were divided into observation group and control group, 40 cases in each group, observation group was treated with albumin combined therapy on the basis of the recovery of pure crystalloid fluid, and the control group was treated with simple crystalloid fluid resuscitation, blood lactate levels, the first hour liquid infusion volume, the circulation stability time, the hospitalization time and the pulmonary edema were compared between the two groups. Results The observation group was better than the control group in the time of hospitalization, blood lactate level, circulation stability time and so on, and the difference was statistically significant（P〈0.05）. Conclusion In children with septic shock, the effective treatment of liquid resuscitation can effectively shorten the time of hospitalization, stabilize the condition of children, and improve the chances of successful rescue.