限制液体复苏和常规液体复苏对院前抢救严重闭合性创伤失血性休克的效果.pdf

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1、中国现代药物应用2015年4月第9卷第8期ChinJModDrugAppl，Apr2015，Vo1．9，No．8·l3·限制液体复苏和常规液体复苏对院前抢救严重闭合性创伤失血性休克的效果黄朝霞蔡光友尤洁芳张志娟【摘要】目的分析限制液体复苏与常规液体复苏在严重闭合性创伤失血性休克院前抢救中的效果。方法76例严重闭合性创伤患者，随机分为两组，各38例。对照组应用常规液体复苏，观察组应用限制液体复苏，对比两组患者入院后的临床特征、治疗情况及病死率、感染发生率及器官衰竭情况。结果观察组输液量、院前复苏时间明显少于对照组(尸<0．05)；观察组血制品输入量少于对照组，血红

2、蛋白升高情况及凝血功能好转优于对照组<0．05)；观察组感染发生率及器官衰竭发生率明显低于对照组fP<0．05)。结论应用限制液体复苏在严重闭合性创伤失血性休克院前急救过程中，能有效改善凝血功能，降低感染发生率，具有良好的临床效果。【关键词】液体复苏；创伤失血性休克；院前抢救DOI：10．14164~．cnki．enl1-5581／r．2015．08．007Efectsoflimitedfluidresuscitationandconventionalfluidresuscitationinpre—hospitalresuscitationofsevereclo

3、sedtraumatichemorrhagicshockHUANGZhao-xia，CAIGuang-you，YOUfie-fang,eta1．DepartmentofEmergencySurgery,DongguanCisyPeoplesHospital,Dongguan52305~China【Abstract】0hjectiveToanalyzetheefectsoflimitedfluidresuscitationandconventionalfluidresuscitationinpre-hospitalresuscitationofsevereclos

4、edtraumatichemorrhagicshock．MethodsAtotalof76patientswithsevereclosedtraumatichemorrhagicshockwererandomlydividedintotwogroupswith38casesineachgroup．Controlgroupreceivedconventionalfluidresuscitation，andobservationgroupreceivedlimitedfluidresuscitation．Comparisonsweremadeonclinicalch

5、aracteristics，treatmentsituation，mortality，incidenceofinfection，andorganfailureconditionbetweenthetwogroups．ResultsTheobservationgrouphadobviouslylessinfusionquantityandpre-hospitalrevivetimethanthecontrolgroup(P<0．05)．Inputquantityofbloodproductwasfewerintheobservationgroupthaninthe

6、controlgroup，andtheimprovedlevelsofhemoglobinandcoagulationfunctionwereallbetterthanthecontrolgroup(P<0．05)．Theobservationgroupalsohadremarkablylowerincidencesofinfectionandorganfailurethanthecontrolgroup(P<0．05)．ConclusionApplicationoflimitedfluidresuscitationcaneffectivelyimproveco

7、agulationfunctionanddecreaseincidenceofinfectioninpre-hospitalresuscitationofsevereclosedtraumatichemorrhagicshock．Thismethodprovidespreciseclinicaleffect．【Keywords】Fluidresuscitation；Traumatichemorrhagicshock；Pre—hospitalresuscitation闭合性创伤失血性休克是临床上一种比较常见的危急综体征进行测量，对患者可能受伤的脏器及休克程度进行评

8、估，合征，具有很高的并发