摘要
目的探讨在产科失血性休克治疗中应用限制性液体复苏的临床意义。方法选择2011年-2013年我院产科接诊的14例失血性休克患者作为研究对象，并随机将其分为对照组和观察组，每组7例，其中对照组采取充分液体复苏治疗，观察组采取限制性液体复苏治疗，分析和比较两组的临床治疗情况。结果经研究发现，观察组的凝血酶原时间（PT）、血气剩余碱（BE）、血压值和病死率分别为（14．8±2．4）s、（1.8±1．1）mmol／L、（63．3±11．4）mlnHg和0％（0／7），明显要优于对照组的（11．8±1．3）s、（2．7±1．4）mmol／L、（51．2±13．5）1／1i／1Hg和14．3％（1／7），比较差异具备统计学意义（P〈0．05）。结论在产科中，给予失血性休克患者行限制性液体复苏治疗，能够有效提高临床整体治疗效果，帮助患者改善病情和预后，控制病死率的发生，值得推广。
Objective To study the application of limited fluid resuscitation in obstetric uncontrolled hemorrhagic shock treatment of clinical significance. Methods Our hospital from 2011 to 2013 in obstetrics departments of 14 patients with uncontrolled hemorrhagic shock as the research object, and its randomly divided into control group and observation group, 7 cases in each group, and control group adopts fully liquid recovery treatment, observation group adopt restrictive liquid recovery treatment, analysis and comparison of two groups of clinical treatment. Results The study found that group of prothrombin time （PT）, blood gas residual alkali（BE）, blood pressure and mortality, respectively （14.8±2.4）s, （1.8±1.1）mmol/L, （63.3±11.4）mm Hg and 0% （0/7）, significantly better than that of control group （11.8±11.3）s, （2.7±1.4）mmol/L, （51.2±13.5）mm Hg and 14.3%（1/7）, compare the differences have statistical significance （P〈0.05）. Conclusion In obstetrics, uncontrolled hemorrhagic shock patients＇ line of restrictive liquid recovery treatment, can effectively improve the overall clinical treatment effect, to help improve the condition and prognosis of patients, control the occurrence of case fatality rate, is worth promoting.
出处
《中国医药指南》
2014年第11期6-7,共2页
Guide of China Medicine
关键词
限制性液体复苏
产科
失血性休克
Restrictive liquid recovery
Maternity
Uncontrolled hemorrhagic shock
