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快速输注3:2:1胶体液救治创伤失血性休克的效果观察 被引量:1

Effects of Quick Infusion with 3:2:1 Liquid Containing Colloid on Hemorrhagic Shock after Trauma
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摘要 目的观察3:2:1胶体液对创伤失血性休克患者的救治效果。方法2000年8月—2006年3月,对80例创伤合并失血性休克患者利用3:2:1胶体液进行救治。在输液前后观察血压、脉搏、呼吸、血乳酸、二氧化碳结合力等指标的变化。结果输入3:2:1胶体液后患者血压、脉搏、呼吸等生命体征明显改善(P<0.05),血乳酸下降及二氧化碳结合力水平上升(P<0.05)。结论创伤失血性休克患者早期快速输入3:2:1胶体液可显著提升患者血容量,改善机体代谢,安全效高。 Objective To observe the effects of quick infusion with 3:2 : 1 liquid containing colloid on the patients with hemorrhagic shock after trauma. Methods From August 2000 to March 2006, 80 patients with hemorrhagic shock after trauma were treated with 3:2:1 liquid containing colloid. Blood pressure, pulse and breath rates were observed, and plasma levels of lactic acid and CO2 combining power ( CO2 cp) were measured before and after infusion with the 3 : 2 : 1 liquid containing colloid. Results ( 1 ) The blood pressure was increased while the pulse and breath rates were decreased significantly ( P 〈 0.05 ). (2) The plasma level of lactic acid became lower while the CO2 cp became higher, compared with those before infusion respectively ( P 〈 0.05 ). Conclusion Early and quick infusion with 3:2 : 1 liquid containing colloid can increase the blood volume, and improve the metabolism and the microcireulation of those with hemorrhagic shock after trauma, in addition to its safety.
机构地区 解放军第
出处 《临床军医杂志》 CAS 2007年第3期411-412,共2页 Clinical Journal of Medical Officers
关键词 失血性休克 创伤 抗休克 hemorrhagic shock trauma anti-shock
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