肝破裂病人围术期的液体治疗

Perioperative fluid therapy for hemorrhagic shock caueed by hepatic repture

目的:总结肝破裂致失血性休克病人的液体治疗经验。方法:回顾分析我院1998年9月至2002年8月24例肝破裂或肝破裂伴其他脏器损伤病人围术期的液体治疗。结果:24例病人中除2例抢救无效死亡外,其余病人均顺利出手术室转入下一步治疗。结论:肝破裂病人失血量大,术前应准确估计病情,补充血容量。术中综合各方面因素准确、适量选择补充液体的种类和量,合理应用药物,保证病人循环稳定。

Objective To evaluate the effects of fluid therapy for hemorrhagic shock caused by hepatic reputure.Method We retrospectively analyzed perioperative fluid thera py in24patients with hepatic reputure or meanwhile with other vis cera in-jure from September1998to August2002in our hospital.Results2patients were rescued in efficiently and died;others were saved and received more treatments.Conclusion Hemorrhagic shock caused by hepatic rupture hemorrhage always en dan gers patient's life severely.In order to rescue patient' s life efficiently,WE should evaluate patient's conditioncorrectly before opera-tion,maintain efficient blood circulate volume with electrolyte solution and colloid so lution according to the state of ill ness.