不同方法液体复苏对非控制性失血休克结局的影响

Effects of Different Methods of Fluid Resuscitation on Outcome of Uncontrolled Hemorrhagic Shock

目的:探讨非控制性失血休克患者采用不同方法液体复苏对其治疗结局的影响.方法:选择笔者所在医院急诊科2017年6月-2019年1月收治的58例非控制性失血休克患者作为研究对象,按照入院顺序随机分为观察组(n=32)和对照组(n=26).观察组予以术前限制性液体复苏,对照组予以术前积极液体复苏.观察两组患者不同时间段输血输液总量、凝血功能、术后早期并发症发生情况及病死率.结果:观察组输血和输液量低于对照组(P<0.05);观察组复苏后PT、APTT、TT均较对照组缩短(P<0.05);观察组术后早期并发症发生率及总病死率低于对照组(P<0.05).结论:采用限制性液体复苏对非控制性失血休克可有效改善患者凝血功能,减少并发症,降低病死率.

Objective:To explore the effect of different methods of fluid resuscitation on the outcome of patients with uncontrolled hemorrhagic shock.Method:A total of 58 patients with uncontrolled hemorrhagic shock who were treated in our emergency department from June 2017 to January 2019 were selected as the research subjects.They were randomly divided into observation group(32 cases)and control group(26 cases)according to the admission order.The observation group was given restricted fluid resuscitation before surgery,and the control group was given forced resuscitation before surgery.The total blood transfusion volume,coagulation function,early postoperative complications and mortality were observed in two groups of patients at different time periods.Result:The volume of blood transfusion and infusion in the observation group was lower than those in the control group(P<0.05).PT,APTT and TT were shorter in the observation group than in the control group after resuscitation(P<0.05).The incidence of early postoperative complications and total mortality in the observation group were lower than those in the control group(P<0.05).Conclusion:The use of restricted fluid resuscitation for uncontrolled hemorrhagic shock can effectively improve patients’coagulation function,reduce complications and reduce mortality.