摘要
目的评价早期液体复苏治疗感染中毒性休克的疗效。方法对感染中毒性休克患者56例分为两组，早期液体复苏组（治疗组）29例，在控制感染的基础上，积极的液体复苏达到早期复苏目标，常规组27例，给予传统的循环与容量支持等常规治疗。观察两组治疗6h及24h时的CVP、MAP、ScvO2、SaO2，及多脏器功能衰竭发生率、病死率。结果治疗组CVP、MAP、ScvO2、SaO2、多器官衰竭发生率及病死率指标与常规组差异有统计学意义（P〈0．05）。结论早期液体复苏治疗可改善感染中毒性休克患者的预后，减少多器官功能衰竭的发生率，降低病死率。
Objective To evaluate the effect of early fluid resuscitation in treatment of septic shock. Methods 56 patients with septic shock in ICU were divided into two groups by the method of the treatment. Early goal-directed therapy were given in the early tluid resuscitation group except anti-infective treatment, and the traditional therapy were given in the traditional group. The CVP,MAP,ScvO2 ,SaO2 of 6h and 12h of intra-treatment were observed in the two groups, and the incidence of MODS and the mortality rate were observed also. Results The CVP, MAP, ScvO2, SaO2 of the early fluid resuscitation group were improved better than that in the traditional group. The incidence of MODS and the mortality rate in the early Quid resuscitation group were lower than that in the traditional group. Conclusion The prognosis of septic shock was better for the early fluid resuscitation, and it could lower the incidence of MODS and the mortality rate.
出处
《中国基层医药》
CAS
2011年第15期2042-2043,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
休克
补液方法
Shock
Fluid Therapy
