摘要
目的:探讨限制性液体复苏在创伤失血性休克患者中的临床应用价值。方法选取本院自2010年6月至2014年6月所收治的创伤失血性休克患者76例作为研究对象,随机分为限制性液体复苏组(LFR组)和充分液体复苏组(AFR组),各38例。分析比较两组患者的病死率、凝血功能及并发症发生情况。结果限制性液体复苏组患者病死率显著低于充分液体复苏组(P<0.05);凝血酶原时间(PT)、部分凝血酶原时间(APTT)显著短于充分液体复苏组(P<0.05);两组患者在急性肾损伤(AKI)发生率方面无统计学差异(P>0.05);且限制性复苏组患者临床并发症总发生率优于充分液体复苏组,差异明显,统计学意义突出(P<0.05)。结论限制性液体复苏可以有效降低创伤失血性休克患者的临床病死率,缩短PT和APTT,促进患者早日康复,值得临床推广。
Objective To study the restrictive liquid recovery in trauma patients with uncontrolled hemorrhagic shock in the clinical application value.Methods76 patients with traumatic hemorrhagic shock were selected from our hospital from June 2010 to June 2014,randomly divided into restrictive fluid resuscitation group(LFR)and sufficient liquid recovery group(AFR),38 cases respectively.Analysis and compare of the mortality,blood coagulation function and the rate of complications.Results The mortality in patients with limited fluid resuscitation group,was significantly lower than full liquid recovery group(P<0.05);prothrombin time(PT),partial prothrombin time(APTT)significantly shorter than the full liquid recovery group(P<0.05);there was no significant difference between two groups of patients in acute kidney injury(AKI)occurrence rate(P>0.05),while the total complication rate of the restrictive fluid resuscitation group was significantly lower than that of the sufficient liquid recovery group(P<0.05).Conclusion Restrictive liquid recovery can effectively reduce the clinical mortality of patients with traumatic hemorrhagic shock,shorten PT and APTT,and promote the early recovery of patients.It is worthy of clinical promotion.
作者
李涛
LI Tao(Emergency department of Dongguan Kanghua hospital,Dongguan,Guangzhou,523080)
出处
《临床普外科电子杂志》
2014年第4期3-6,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
限制性液体复苏
创伤
失血性休克
Limited fluid resuscitation
Traumatic
Hemorrhagic shock
