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早期限制性液体复苏治疗创伤性失血性休克的临床疗效 被引量:10

Clinical effect of early restrictive liquid recovery in treating hemorrhagic traumatic shock
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摘要 目的探讨早期限制性液体复苏治疗创伤性失血性休克的临床疗效。方法选取南安市医院2015年9月—2017年2月收治的创伤性失血性休克患者68例,根据随机分组原则将患者分为对照组与观察组,各34例。对照组予以早期快速补液复苏治疗,观察组予以早期限制性液体复苏治疗。比较两组患者抢救成功率、24 h乳酸恢复正常率、复苏时间、液体输入量、氧消耗、氧输送及血氧饱和度。结果观察组抢救成功率与24 h乳酸恢复正常率高于对照组(P<0.05)。观察组患者复苏时间短于对照组,液体输入量少于对照组(P<0.05)。观察组患者氧消耗、氧输送及血氧饱和度高于对照组(P<0.05)。结论早期限制性液体复苏治疗创伤性失血性休克的临床疗效确切,可有效维持患者机体脏器组织的血流灌注与供氧,缩短复苏时间,提高抢救成功率,改善预后。 Objective To explore the clinical effect of early restrictive liquid recovery in treating hemorrhagic traumatic shock. Methods A total of 68 cases of hemorrhagic traumatic shock patients were selected frm September 2015 to February 2017 in Nan'an City Hospital,which were randomly divided into control group and observation group,34 cases in each group. The control group was given quickly rehydrating,and the observation group was given early restrictive liquid recovery. The rescue success rate,24 h lactic acid recovery normal rate,recovery time,liquid input,oxygen consumption,oxygen delivery and oxygen saturation were compared between the two groups. Results The observation group of rescue success rate and 24 h lactic acid recovery normal rate were higher than control group( P〈0. 05). The observation group of recovery time was shorter than control group,liquid input was less than control group( P〈0. 05). The observation group of oxygen consumption,oxygen delivery and oxygen saturation were higher than control group( P〈0. 05). Conclusion Early restrictive liquid recovery has an exactly clinical effect in treating hemorrhagic traumatic shock,it can effectively maintain the body's organs tissue blood perfusion and oxygen supply,shorten recovery time,promote rescue success probability,and improve prognosis.
作者 谢志勇 潘志强 张邦唐 X;PAN Zhi - qiang;ZHANG Bang -tang.(Department of Emergency, Nanan City Hospital, Nan'an 362300, Chin)
出处 《临床合理用药杂志》 2018年第6期40-41,共2页 Chinese Journal of Clinical Rational Drug Use
基金 福建省南安市科技计划项目(2016S009)
关键词 休克 出血性 液体复苏 治疗结果 Shock hemorrhagic Liquid resuscitation Treatment outcome
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