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目的:讨论限制性液体复苏对急诊创伤患者的影响,寻求高效的液体复苏方法。方法:对2010年7月~2013年2月在我科就诊的79例创伤性休克患者的临床资料进行回顾性分析。对比常规液体复苏组(n=28)和限制性液体复苏组(n=51)的疗效和存活率。结果:限制性液体复苏组输液量为2098±315ml,治愈率86.4%,死亡率为13.6%;常规液体复苏组输液量2980±512ml,治愈率77.8%,死亡率22.2%。2组间比较有显著性差异(P<0.05)。结论:在创伤早期出血未控制的情况下,限制性液体复苏可提高治愈率,降低死亡率,为后续高级生命支持创造了条件。
OBJECTIVE: To discuss the impact of restrictive fluid resuscitation on emergency trauma patients and to find an efficient fluid resuscitation method. Methods: The clinical data of 79 patients with traumatic shock in our department from July 2010 to February 2013 were analyzed retrospectively. The efficacy and survival rate of the conventional liquid resuscitation group (n = 28) and the restricted liquid resuscitation group (n = 51) were compared. Results: Resuscitation fluid volume was 2098 ± 315ml, the cure rate was 86.4% and the mortality rate was 13.6%. The volume of liquid infusion in the routine liquid resuscitation group was 2980 ± 512ml, the cure rate was 77.8% and the mortality rate was 22.2%. There was significant difference between the two groups (P <0.05). CONCLUSION: Restrictive fluid resuscitation can improve the cure rate and reduce the mortality rate under the condition of uncontrolled trauma early hemorrhage, which provides the conditions for the follow-up advanced life support.