限制性液体复苏在创伤失血性休克患者中的临床应用

Clinical Application of Restrictive Fluid Resuscitation in Patients with Traumatic Hemorrhagic Shock

目的研讨创伤失血性休克患者实施限制性液体复苏处理的临床价值。方法选择我院急诊外科收治的128例创伤失血性休克患者作为观察对象,并随机分组,将64例予以充分液体复苏处理者纳入A组,将64例予以限制性液体复苏治疗者纳入B组,对两组的复苏情况进行比较与评估。结果A组与B组输入液体量的对比,P<0.05,有统计学意义。两组入院时PT值、APTT值差异相当,P>0.05,无统计学意义;复苏后,B组PT值、APTT值升高不及A组明显,P<0.05,有统计学意义。B组患者发生ALI的概率相比A组显著下降,P<0.05,有统计学意义。A组和B组的死亡率无明显差异,考虑死亡患者与原发伤有关,与复苏后并发症引发的死亡无关。结论对创伤失血性休克患者实施限制性液体复苏处理,能够明显减少输液量,降低并发症,值得推荐。

Objective To investigate the clinical value of restrictive fluid resuscitation in patients with traumatic hemorrhagic shock.Methods A total of 128 patients with traumatic hemorrhagic shock admitted to our department were enrolled in the emergency department.Sixty-four patients with adequate fluid resuscitation were included in group A,and 64 patients with restrictive fluid resuscitation were included in group B,and the recovery of the two groups was compared and evaluated.Results There was statistical significance between group A and group B in the amount of liquid input,P<0.05.The difference of PT value and APTT value between the two groups at admission was similar,P>0.05,and there was no statistical significance.After resuscitation,the PT value and APTT value in group B were lower than those in group A,P<0.05,had statistical significance.The incidence of ALI in group B was significantly lower than that in group A,P<0.05.There was no significant difference in mortality between group A and group B.Considering that the death of patients was related to the primary injury,it was not related to the death caused by complications after resuscitation.Conclusion Restrictive fluid resuscitation for traumatic hemorrhagic shock patients can significantly reduce infusion volume and complications,which is worthy of recommendation.