急诊创伤性休克患者限制性液体复苏治疗的抢救效果分析(1)
【摘要】 目的：探讨急诊创伤性休克患者限制性液体复苏治疗的抢救效果。方法：选取90例2017年2月-2018年3月急诊创伤性休克患者，根据治疗方法分为观察组和对照组，各45例。对照组进行常规处理和补液，观察组进行常规处理和限制性液体复苏。比较两组急诊创伤性休克疗效，纠正创伤性休克时间、恢复平稳生命体征的时间、输液量，并发症，补液前后两组静脉血氧饱和度、血乳酸、血小板、红细胞比容。结果：观察组急诊创伤性休克疗效高于对照组，纠正创伤性休克时间、恢复平稳生命体征的时间、输液量优于对照组差异均有统计学意义(P<0.05)。补液前两组静脉血氧饱和度、血乳酸、血小板、红细胞比容比较，差异均无统计学意义(P>0.05);补液后观察组静脉血氧饱和度、血乳酸、血小板、红细胞比容优于对照组，急性肾功能衰竭等并发症率低于对照组，差异均有统计学意义(P<0.05)。结论：急诊创伤性休克患者行限制性液体复苏疗效确切，可改善病情和生命体征，减少不良预后，减少输液量。
【关键词】 急诊创伤性休克患者; 限制性液体复苏治疗; 抢救效果
【Abstract】 Objective：To investigate the rescue effect of restrictive fluid resuscitation in emergency traumatic shock patients.Method：90 emergency traumatic shock patients from February 2017 to March 2018 were selected and divided into observation group and control group according to treatment method，45 cases in each group.The control group was given routine treatment and rehydration.The observation group was given routine treatment and restrictive fluid resuscitation.The efficacy of emergency traumatic shock，correct the time of traumatic shock，restore the time of stable vital signs，infusion volume and complications in two groups were compared.And venous oxygen saturation，blood lactate，platelet，hematocrit before and after rehydration in two groups were compared.Result：The efficacy of emergency traumatic shock in the observation group was higher than that of the control group(P<0.05).The observation group corrected the time of traumatic shock，the time to restore stable vital signs and the infusion volume were better than those of the control group(P<0.05).There were no significant difference in oxygen saturation，blood lactate，platelet and hematocritbefore rehydration in two groups(P>0.05).The venous oxygen saturation，blood lactate，platelet and hematocrit in the observation group were better than those of the control group after rehydration(P<0.05).The complication rate of acute renal failure in the observation group was lower than that in the control group(P<0.05).Conclusion：The rescue effect of restrictive fluid resuscitation in emergency traumatic shock patients is definite，which can improve the condition and vital signs，reduce the poor prognosis and reduce the amount of fluid infusion.
【Key words】 Emergency traumatic shock patients; Restrictive fluid resuscitation treatment; Rescue effect
First-author’s address：Shougang Hospital of Peking University，Beijing 100144，China
doi：10.3969/j.issn.1674-4985.2019.10.014
嚴重创伤为导致患者死亡的重要原因，而其中急性创伤性休克患者是由重大创伤引起的，患者失血多，可导致脏器供血不足。多数患者发病急，病情严重，抢救不及时可导致死亡[1-3]。本研究分析了急诊创伤性休克患者限制性液体复苏治疗的抢救效果，现报道如下。, 百拇医药(徐阳)
【关键词】 急诊创伤性休克患者; 限制性液体复苏治疗; 抢救效果
【Abstract】 Objective：To investigate the rescue effect of restrictive fluid resuscitation in emergency traumatic shock patients.Method：90 emergency traumatic shock patients from February 2017 to March 2018 were selected and divided into observation group and control group according to treatment method，45 cases in each group.The control group was given routine treatment and rehydration.The observation group was given routine treatment and restrictive fluid resuscitation.The efficacy of emergency traumatic shock，correct the time of traumatic shock，restore the time of stable vital signs，infusion volume and complications in two groups were compared.And venous oxygen saturation，blood lactate，platelet，hematocrit before and after rehydration in two groups were compared.Result：The efficacy of emergency traumatic shock in the observation group was higher than that of the control group(P<0.05).The observation group corrected the time of traumatic shock，the time to restore stable vital signs and the infusion volume were better than those of the control group(P<0.05).There were no significant difference in oxygen saturation，blood lactate，platelet and hematocritbefore rehydration in two groups(P>0.05).The venous oxygen saturation，blood lactate，platelet and hematocrit in the observation group were better than those of the control group after rehydration(P<0.05).The complication rate of acute renal failure in the observation group was lower than that in the control group(P<0.05).Conclusion：The rescue effect of restrictive fluid resuscitation in emergency traumatic shock patients is definite，which can improve the condition and vital signs，reduce the poor prognosis and reduce the amount of fluid infusion.
【Key words】 Emergency traumatic shock patients; Restrictive fluid resuscitation treatment; Rescue effect
First-author’s address：Shougang Hospital of Peking University，Beijing 100144，China
doi：10.3969/j.issn.1674-4985.2019.10.014
嚴重创伤为导致患者死亡的重要原因，而其中急性创伤性休克患者是由重大创伤引起的，患者失血多，可导致脏器供血不足。多数患者发病急，病情严重，抢救不及时可导致死亡[1-3]。本研究分析了急诊创伤性休克患者限制性液体复苏治疗的抢救效果，现报道如下。, 百拇医药(徐阳)