摘要
目的通过对闭合创伤失血休克患者行限制性液体复苏和常规液体复苏,对比两种液体复苏方法的差异及其对患者预后的影响。方法随机选择82名患者,该82名患者均由于严重的闭合性创伤失血而导致休克,在对其的院前复苏过程中,将其分为对照组,采用常规液体复苏;实验组,采用限制性液体复苏。通过比较两组患者的院前复苏时间和输液量、到达医院后血浆中血红蛋白含量和血小板计数、血制品输入量、感染发生率、器官衰竭发生率和死亡率等指标来评判两种复苏方式的差异。结果实验组的院前复苏时间和输液量明显小于对照组(P<0.05),入院后实验组的血浆血红蛋白含量和血小板计数大于对照组(P<0.05),血制品输入量和感染发生率小于对照组(P<0.05),器官衰竭发生率和死亡率也小于对照组(P<0.05)。结论在对严重闭合性创伤失血性休克患者的临床复苏实践中,可以看出,应用限制性液体复苏的患者预后明显好于应用常规液体复苏的患者,降低输液量,减少感染和器官衰竭的可能。因此,限制性液体复苏的方式值得推广。
Objective To compare and analyze the prognosis effect of limited fluid resuscitation and conventional fluid resuscita- tion by adopting them respectively on patients with closed traumatic hemorrhagic shock. Methods 82 patients with severe closed trau- matic hemorrhagic shock were randomly divided into two groups. During pro - hospital resuscitation period, patients in control group were given conventional fluid resuscitation, while those in experimental group were given limited fluid resuscitation. Pre -hospital re- vival time, infusion quantity, hemoglobin content and blood platelet count after arriving at hospital, input quantity of blood product, incidence of infection and organ failure and mortality between the two groups were compared to judge the two approaches of resuscita- tion. Results Pre - hospital revival time and infusion quantity of the experimental group were obviously less than that of the control group （P 〈 0.05）. Hemoglobin content and blood platelet count were higher in the experimental group （P 〈 0. 05 ）. Input quantity of blood product and the incidence of infection in the experimental group were fewer than that of the control group, and the mortality and incidence of organ failure were also fewer in the experimental group. Conclusion In the clinical practice of severe closed traumatic hemorrhagic shock, it can be seen that the prognosis of patients with limited fluid resuscitation is significantly better than that of pa- tients with conventional fluid resuscitation. With the advantages of lower amount of transfusion and fewer possibility of infection and or- gan failure, limited fluid resuscitation is worthy of promotion.
出处
《辽宁医学院学报》
CAS
2016年第1期69-71,共3页
Journal of Liaoning Medical University (LNMU) Bimonthly
关键词
液体复苏
闭合性创伤失血
休克
院前抢救
fluid resuscitation
closed traumatic hemorrhagic
shock
pre -hospital resuscitation
