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目的:探讨创伤性休克患者不同复苏液的复苏治疗效果。方法:120例创伤性休克患者随机分为3组:乳酸林格液组(LRH组)、25%白蛋白组(ALB组)、万汶组(VOLUVEN组),每组40例,记录3组复苏液的量。结果:复苏后维持平均动脉压(MAP)80~90mmHg时ALB组、VOLUVEN组复苏液量较LRH组明显减少(P<0.05)。结论:创伤失血性休克时采用晶体液/胶体液联合治疗方案其恢复质量明显优于单纯使用晶体液。
Objective: To investigate the therapeutic effect of resuscitation with different resuscitation fluid in patients with traumatic shock. Methods: A total of 120 patients with traumatic shock were randomly divided into 3 groups: LRH group, 25% ALB group and VOLUVEN group, 40 cases in each group. Three groups were recorded. Recovery volume. Results: After resuscitation, mean arterial pressure (MAP) of 80 ~ 90mmHg ALB group, VOLUVEN group resuscitation fluid was significantly reduced compared with LRH group (P <0.05). Conclusion: The recovery of traumatic hemorrhagic shock with crystalloid / colloidal solution is better than that with crystalloid alone.