摘要
目的 评价重症胸部创伤合并创伤性失血性休克 (HTS)采用限制性液体复苏的治疗效果 ,以提高治愈率。方法 总结 1998- 0 1～ 2 0 0 3- 0 9急诊收治的重症胸部创伤合并HTS病人 4 9例 ,对病人年龄、创伤严重程度评分、休克程度、复苏开始时间、输入液量进行统计学分析 ,对比常规液体复苏 (n =2 7)与限制性液体复苏 (n =2 2 )的疗效及ARDS的发生率与病死率。结果 常规液体复苏组平均输液量为 (2 96 5± 5 2 4 )mL ,治愈率为 77 8% ,死亡率为 2 2 2 % ,其中ARDS发生率为 18 5 % ,死亡率为 6 0 % ;限制性液体复苏组平均输液量为 (2 0 89± 32 8)mL ,治愈率为 86 4 % ,死亡率为 13 6 % ,其中ARDS发生率为 9 1% ,死亡率为 0。组间比较均有显著性差异 (P <0 0 5 )。结论 重症胸部创伤合并HTS采用限制性液体复苏方法救治可降低ARDS发生 ,提高治愈率。
Objective To evaluate the effect of limited fluid resuscitation on severe thoracic trauma accompanied with hemorrhagic traumatic shock(HTS) in order to improve the cure rate. Method To summarize 49 emergency case of severe thoracic trauma accompanied with HTS,and to deal with data of patient's age,grade of trauma degree,shock degree, start time of resuscitation,transfusion quantity by statistical analysis,at the same time to compare the healing effect,incidence of ARDS and mortality rate in regular fluid resuscitation (n=27) with those in limited fluid resuscitation group (n=22).Results Average transfusion quantities of regular fluid resuscitation group were (2 965±524)mL,cure rate was 77.8%,mortality rate was 22.2%;for limited fluid resuscitation group,average transfusion quantities were (2 089±328)mL,cure rate was 86.4%,mortality rate was 13.6%,incidence of ARDS was 9.1%, mortality rate was 0.There was statistical difference between two groups (P<0.05). Conclusion Limited fluid resuscitation treatment on severe thoracic trauma accompanied with HTS can improve cure rate and reduce the incidence of ARDS.
出处
《中国急救医学》
CAS
CSCD
北大核心
2004年第3期178-180,共3页
Chinese Journal of Critical Care Medicine
