创伤性休克早期液体复苏的临床研究

发布时间：2019-03-23 19:42

【摘要】：目的探讨创伤性休克早期液体复苏的方案选择及临床效果。方法收集我院2009年10月至2012年3月收治的创伤性休克患者47例作为观察组,2003年1月至2005年7月我院收治的45例创伤性休克患者作为对照组,观察组患者给予高渗氯化钠羟乙基淀粉40注射液,对照组患者给予平衡盐溶液。对比两组患者液体输入量,观察用药前及用药后30min心率、血压及呼吸频率的变化情况比较两组患者的病死率。结果观察组平均液体输入量少于对照组(P0.05);观察组用药后30min心率、脉压差及尿量的恢复情况优于对照组,两组比较P0.05;观察组患者死亡3例,病死率为6.4%;对照组患者死亡8例,病死率17.8%。两组比较P0.05。结论采用高渗氯化钠羟乙基淀粉40注射液进行液体复苏,可减少液体输入量,有效改善休克症状,降低病死率。
[Abstract]:Objective to explore the choice and clinical effect of fluid resuscitation in the early stage of traumatic shock. Methods 47 patients with traumatic shock from October 2009 to March 2012 in our hospital were collected as observation group and 45 patients with traumatic shock treated in our hospital from January 2003 to July 2005 as control group. The patients in the observation group were given hypertonic sodium chloride hydroxyethyl starch 40 injection, and the patients in the control group were given the balanced salt solution. The changes of 30min heart rate, blood pressure and respiratory rate before and after treatment were compared between the two groups. Results the average volume of liquid infusion in the observation group was lower than that in the control group (P0.05), the recovery of 30min heart rate, pulse pressure difference and urine volume in the observation group was better than that in the control group (P 0.05), 3 cases died in the observation group, the fatality rate was 6.4%. In the control group, 8 patients died and the fatality rate was 17.8%. The two groups were compared with each other (P 0.05). Conclusion liquid resuscitation with hypertonic sodium chloride hydroxyethyl starch 40 injection can reduce fluid infusion, effectively improve shock symptoms and reduce mortality.
【作者单位】：大庆龙南医院普外科;
【分类号】：R605.971

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