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| Effects of Fluid Resuscitation on Hematocrit, Serum Lactic Acid and Prognosis of Patients with Traumatic Hemorrhagic Shock |
| WANG Ping, LI Le, SHU Nengyuan, et al |
| The General Hospital of Western Theater Command, Sichuan Chengdu 610083, China |
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Abstract Objective: To study the effects of different fluid resuscitation modes on hematocrit (HCT), serum lactic acid (BLA) and prognosis of patients with traumatic hemorrhagic shock. Methods: The clinical data of 184 patients with traumatic hemorrhagic shock admitted to the hospital between January 2017 ~ November 2021 were retrospectively analyzed. According to the fluid resuscitation mode, they were divided into observation group and control group, with 92 cases in each group. Patients in the control group were treated with conventional limited fluid resuscitation, and patients in the observation group were treated with B-ultrasound monitored inferior vena cava variability guided fluid resuscitation. The fluid infusion volume, blood transfusion volume, length of intensive care unit (ICU) stay, prothrombin time (PT), activated partial thromboplastin time (APTT), HCT and BLA level were compared between the 2 groups, and prognosis of the 2 groups was analyzed. Results: The fluid infusion volume, blood transfusion volume and ICU stay of the observation group were significantly smaller/shorter than those of the control group (P<0. 05). 1h after resuscitation, PT, APTT and BLA level of the observation group were significantly shorter/lower than those of the control group (P<0. 05), and HCT was significantly higher than that of the control group (P<0. 05). In the observation group, 7 patients developed multiple organ dysfunction syndrome (MODS), 6 patients developed acute respiratory distress syndrome (ARDS), and 3 patients died during hospitalization. In the control group, 10 patients developed MODS, 9 patients developed ARDS, and 7 patients died during hospitalization. There were no significant differences in the incidence rates of MODS, ARDS and death between the 2 groups (P>0. 05). Conclusion: B-ultrasound monitored inferior vena cava variability guided fluid resuscitation is simple to operate, and the monitoring indicators are more accurate. Compared with conventional limited fluid resuscitation, it can reduce the risks of coagulation dysfunction and other complications.
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2022, Vol. 28 
