| 郭明清 王林 张慧 杨敏 朱秀红.不同补液方式在创伤合并失血性休克早期急救中的临床应用[J].,2015,15(36):7168-7170 |
| 不同补液方式在创伤合并失血性休克早期急救中的临床应用 |
| Clinical Application of Different Fluid Infusion Methods in the EarlyEmergency Treatment of Traumatic Hemorrhagic Shock |
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| DOI： |
| 中文关键词: 补液 创伤合并失血性休克 早期急救 |
| 英文关键词: Fluid infusion Traumatic hemorrhagic shock Early emergency treatment |
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| 中文摘要: |
| 目的：研究不同补液方式在创伤合并失血性休克早期急救中的临床应用。方法：选取2013 年6 月到2015 年6 月我院收治的
创伤合并失血性休克患者130 例，按照随机数字表法将患者分为I组和II组，每组65 例，I组给予限制性液体补充，II 组给予充足
液体补充，比较两组输液量、输血量、平均动脉压、心率、死亡率以及并发症。结果：I 组输液量、输血量、心率以及平均动脉压均显
著低于II 组，比较差异具有统计学意义（P＜0.05）；I 组死亡率为18.5％（12/65）显著低于II组的38.5％（25/65），比较差异具有统
计学意义（P＜0.05）；I 组并发症发生率为16.9％（11/65）显著低于II组的36.9％（24/65），比较差异具有统计学意义（P＜0.05）。结
论：限制性液体补液应用于创伤合并失血性休克早期急救效果较好，具有较低的死亡率和并发症发生率。 |
| 英文摘要: |
| Objective:To study the clinical application of different fluid infusion methods in the early emergency treatment of
traumatic hemorrhagic shock.Methods:130 cases of trauma combined with hemorrhagic shock were selected from our hospital from
June 2013 to June 2015, they were divided into group I and group II according to the random number table method, 65 cases in each
group, the group I was given a restricted liquid supplement, the group II was given adequate liquid supplement, to compare the two
groups of transfusion, blood transfusion, mean arterial pressure, heart rate, death rate and complications.Results:The amount of
transfusion, blood transfusion, heart rate and mean arterial pressure in group I were significantly lower than those in group II, the
difference was statistically significant (P < 0.05); the mortality of group I was 18.5% (12/65) was significantly lower than that 38.5％
（25/65）in group II , the difference was statistically significant (P < 0.05); the complication rate of group I was 16.9% (11/65) was
significantly lower than that 36.9%(24/65) in II group, the difference was statistically significant (P < 0.05).Conclusion:There had better
effect of limited fluid infusion in the early treatment of traumatic hemorrhagic shock, had lower mortality and complication rates. |
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