儿童多发创伤的液体复苏

Fluid resuscitation in children with multiple trauma

在儿童多发创伤患者中,低血容量是休克最常见的原因,在创伤复苏过程中,早期发现和治疗低血容量是十分重要的。已大量失血时会出现代偿性休克,血压会通过心动过速和血管收缩而得以维持。低压性休克表现为低血压及心动过速。多发创伤的液体复苏分出血已控制时、出血未控制时两种情况。此外,大量输血方案也与多发创伤密切相关。

Hypovolemia is the most common cause of shock in children with multiple trauma.Early detection and treatment of hypovolemia is very important in the process of trauma resuscitation.Compensatory shock occurs when large amounts of blood are lost, and blood pressure is maintained by tachycardia and vasoconstriction.Hypobaric shock is characterized by hypotension and tachycardia.The fluid resuscitation of multiple traumas can be divided into two cases, when the bleeding is under control or not under control.In addition, massive transfusion is closely associated with multiple trauma.