出血性休克手术病人液体复苏比较

Comparison of fluid resuscitation in patients with hemorrhagic shock

本文回顾性分析本院80年代收治的106例出血性休克的手术病人的液体复苏资料。后5年组病人晶体液摄入量增加1倍以上,胶体液和葡萄糖液仅是前5年组的1/5,头30分钟摄入量增加1倍。后5年组麻黄素使用频度和量由66%和30mg降至26%和5.3mg。休克逆转时间则由67.32分钟缩短至30.3分钟。无1例发生脑、肺水肿。作者认为晶体液复苏能够促进休克逆转,稳定生命体征,提高病人对麻醉的手术耐受性。

Data of fluid resuscitation in 106 surgical patientswith hemorrhagic shock admitted to our hospital in the1980s were retrospectively studied.As Compared with theformer five years,intake of crystalloid solution in patientsduring the period of the latter five years increased by mor(?)than 100%,colloidal solution(giucose solution)decreasedby 80%,fluid intake in the first 30 minutes increased by100%,the frequency of adminitration and the dosage ofephedrine reduced from 66% and 30mg to 26% and5.3mg respectively,and the reversion time of shock de-creased from 67.32 to 30.3 minutes.Pulmonary edemawas not seen in any case.We consider that the use ofcrystalloid fluid in resuseitation can facilitate the reversionof shock,stabilize the vital signs and increase the toleranceof the patient with hemorrhagic shock to anesthesia andoperation.