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创伤性休克的液体复苏与碱缺失监测
Fluid Resuscitation and Base Deficits Monitoring in Traumatic Shock
【摘要】 目的探讨创伤性休克液体复苏的方法与动脉血碱缺失水平的变化及其临床意义。方法回顾性分析76例创伤性休克患者液体复苏时入院48h内BD值的变化,比较存活者和死亡者BD值的变化及BD与患者预后之间的关系。结果创伤性休克经液体复苏后BD逐渐升高,存活组复苏后6~12hBD显著提高(P<0.05),死亡组与存活组有统计学差异(P<0.05)。死亡组的器官衰竭发生率亦明显高于存活组。结论BD可作为创伤性休克液体复苏时的监测指标之一,液体复苏能有效改善创伤性休克组织器官的低灌注状态。在此治疗过程中,6~12hBD仍持续低水平可能提示预后不良。
【Abstract】 Objective To investigate the fluid resuscitation methods and the changes of arterial base deficits in the traumatic shock patients. Methods A retrospective review of 66 traumatic shock patients were performed during fluid resuscitation, the BD changes were observed, the relationship of BD and prognosis in survivals and deaths were analyzed. Results Within 48h after fluid resuscitation of traumatic shock, the BD value improved gradually. The difference between survivals and non-survivals was significant at 6 to 12h(P<0.05). The incidence of the shock-related complications in non-survivals was higher than in survivals. Conclusion BD can be one of monitor index for the fluid resuscitation of traumatic shock. Fluid resuscitation can improve low circulation of traumatic shock. Low value of BD at 6 to 12h after the fluid resuscitation means poor prognosis.
【Key words】 Traumatic shock; MODS; Fluid resuscitation; Base deficit;
- 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2007年24期
- 【分类号】R641
- 【被引频次】13
- 【下载频次】124