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目的对创伤合并失血性休克的早期不同补液方式的急救效果进行探讨分析。方法选择2012年1月至2014年1月治疗的60例创伤合并失血性休克早期患者,随机将其分为观察组和对照组,每组30例,两组患者行不同的补液方式进行急救,对两组患者的急救效果进行对比分析。结果伤后1h内就诊的45例患者中,2例死亡(4.44%);就诊时间在伤1h后就诊的15例患者中5例(33.33%),病死率方面相比较差异有统计学意义(P<0.05);观察组患者输液量及输血量均明显高于对照组,且差异有统计学意义(P<0.05)。两组患者30min内生命体征等指标方面相比较,观察组患者优于对照组,差异有统计学意义(P<0.05)。结论治疗以细胞内复苏为重点,降低休克因子,受到创伤患者后尽早入院进行治疗,并且在治疗时采用加压补液法,可以有效的改善创伤合并失血性休克患者的预后,值得在临床推广应用。
Objective To investigate the first aid effect of different rehydration methods in early stage of trauma combined hemorrhagic shock. Methods From January 2012 to January 2014, 60 patients with early traumatic hemorrhagic shock were randomly divided into observation group and control group, with 30 cases in each group. The patients in two groups underwent first aid with different rehydration methods, The first aid effect of two groups of patients were compared. Results Among the 45 patients who were treated within 1 hour after injury, 2 patients died (4.44%), 5 patients (33.33%) were treated in 15 patients who were treated 1 hour after injury, and the mortality rate was significantly different P <0.05). The volume of transfusion and blood transfusion in the observation group were significantly higher than those in the control group, and the difference was statistically significant (P <0.05). Two groups of patients within 30min and other indicators of vital signs compared to the observation group was better than the control group, the difference was statistically significant (P <0.05). Conclusion The treatment of intracellular resuscitation as the focus to reduce the shock factor, trauma patients as soon as possible after admission to hospital for treatment, and in the treatment of pressurized rehydration method, which can effectively improve the prognosis of patients with traumatic hemorrhagic shock, worthy of clinical application .