Abstract：Objective: To explore and analyze limitesd fluid resuscitation and conventional liquid recovery efficacy for the treatment of uncontrolled hemorrhagic shock. Methods: 90 cases of patients with uncontrolled hemorrhagic shock admitted in our hospital from April 2015 to April 2017 were selected as objects. All the patients were divided into limitesdgroup and conventional resuscitation group by random number table, 45 cases in each group. The mortality and complication rates and laboratory indexes, average infusion quantity of two groups were compared. Results: Compared with the conventional liquid resuscitation group, the 24h mortality rate, the mortality rate and complication rate in the 1 weeks were lower and the average transfusion rate was less, and the difference was statistically significant (P<0.05). After two groups of treatment, compared with before treatment, HBG, Hct, PLT, BUN and Scr levels increased, PT time shortened, compared with the routine fluid resuscitation group, the indexes of the liquid resuscitation group improved more significantly. The difference was statistically significant (P<0.05). Conclusion: Compared with conventional fluid resuscitation, the treatment of hemorrhagic shock with limited fluid resuscitation has significant efficacy, low mortality and complication rate, better improvement of laboratory indexes and promotion of prognosis.
王滨, 王馨翊. 限制性液体复苏与常规液体复苏治疗失血性休克的疗效对比研究[J]. 河北医学, 2017, 23(6): 895-897.
WANG Bin, WANG Xinyi. Comparative Study of the Efficacy of Limitesd Fluid Resuscitation and Conventional Fluid Resuscitation in Uncontrolled Hemorrhagic Shock. 河北医学, 2017, 23(6): 895-897.
[1] 于天瑜.102例限制性液体复苏治疗创伤失血性休克的临床研究[J].吉林医学,2013,3(21):4252~4253. [2] 刘志成,宋秀梅.限制性液体复苏综合救治在失血性休克患者中的急诊救治体会[J].吉林医学,2014,35(26):889~890. [3] Holmes JF,Sakeles JC,Lewis G,et al.Effects of delaying fluid resuscitation on an injury to the systemic arterial vasculatation[J].Aced Emerg Med,2012,9(4):267~274. [4] White N J, Wang X, Liles C, et al. Fibrinogen concentrate improves survival during limited resuscitation of uncontrolled hemorrhagic shock in a Swine model[J].Shock,2014,42(5):456~463. [5] 管向东,黄顺伟.胃肠外科围手术期的液体治疗[J].中华胃肠外科杂志,2013,16(1):1821~1822. [6] 温穗文,郭晓燕,黄旭君,等.限制性液体复苏在产后失血性休克的应用体会[J].中外医学研究,2014,12(23):4~6. [7] 赵春元.严重多发伤急诊损伤控制性液体复苏36例临床分析[J].中外医学研究,2013,11(19):160~161. [8] 沙小龙,王倩.限制性补液疗法在抢救产后出血失血性休克患者中的应用[J].中国医学创新,2014,11(28):56~58. [9] Tibboel J, Joza S, Reiss I, et al. Amelioration of hyperoxia-induced lung injury using a sphingolipid-based intervention[J].Eur Respir,2013,42(3):776~784. [10] 孙洋,张永创,赵鸿,等.严重多发伤休克早期液体复苏疗效分析[J].医学新知杂志,2013,23(2):132~134. [11] 李佳.外伤性失血性休克的急诊诊治分析[J].中外医学研究,2014,12(10):145~146. [12] 高大伟,唐剑邦,何君源.限制性液体复苏对全髋关节术后低血压性休克的影响[J].中国临床实用医学杂志,2015,6(1):45~46. [13] 陈睦虎,钟武,胡迎春,等.限制性液体复苏对创伤失血性休克的疗效研究[J].四川医学,2013,34(10):1512~1514.
2017, Vol. 23 
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