限制性液体复苏在急性上消化道出血所致的失血性休克中的临床应用研究

Clinical Application of Limited Fluid Resuscitation in Hemorrhagic Shock Caused by Acute Upper Gastrointestinal Hemorrhage

目的:研究分析限制性液体复苏在急性上消化道出血所致的失血性休克中的临床应用效果。方法:选取2018年11月~2019年11月期间,某院收治的急性上消化道出血所致的失血性休克患者62例,随机分为对照组和试验组各31例。给予对照组患者行常规液体复苏,给予试验组患者行限制性液体复苏。结果:试验组不良反应发生率为6.45%,对照组为25.81%,差异具有统计学意义(P<0.05)。结论:相比于常规液体复苏,在急性上消化道出血所致的失血性休克中,应用限制性液体复苏,血压平稳降低,疗效明确,可使输液量减少,缩短住院时间及凝血酶原时间,安全可靠,值得临床推广及使用。

Objective:To study the clinical effect of limited fluid resuscitation in hemorrhagic shock caused by acute upper gastrointestinal hemorrhage.Methods:62 patients with hemorrhagic shock caused by acute upper gastrointestinal hemorrhage in a hospital from November 2018 to November 2019 were selected and randomly divided into control group and experimental group,with 31 in each group.Patients in the control group were given conventional fluid resuscitation,and patients in the experimental group were given limited fluid resuscitation.Results:The incidence of adverse reactions was 6.45%in the experimental group and 25.81%in the control group,the difference was statistically significant(P<0.05).Conclusion:Compared with conventional fluid resuscitation,in the hemorrhagic shock caused by acute upper gastrointestinal hemorrhage,the application of limited fluid resuscitation can reduce the blood pressure steadily with definite curative effect,reduce the infusion volume,and shorten the hospitalization time and prothrombin time,which is safe and reliable,and is worthy of clinical promotion and application.