【摘要】 目的 :探讨限制性液体复苏在创伤失血性休克患者急救中的应用效果。方法 :将2011年3月~2014年1月我院急救中心收治的创伤失血性休克患者142例随机分为对照组和观察组各71例,对照组实施积极液体复苏进行救治,观察组采用限制性液体复苏救治。以两组患者输液量、输血量、剩余碱(BE)值、血红蛋白(HBG)、血小板计数(PLT)、凝血酶原时间(PT)及部分凝血酶原时间(APTT)、死亡率等为考察指标,对两组患者的救治效果进行比较分析。结果 :两组患者经过不同方法的救治,观察组在输液量、术前剩余碱值、PT及APTT值、死亡率方面显著低于对照组,差异显著;且观察组PLT值、HBG值显著高于对照组,差异亦具有统计学意义。结论 :限制性液体复苏用于创伤失血性休克患者的救治,可有效改善预后并降低伤者死亡率,值得进一步研究和应用。更多还原

【Abstract】 Objective To investigate the effect of Limited fluid resuscitation in treating patients with Hemorrhagic Traumatic Shock(HTS) in first aid. Methods From March 2011 to January 2014, 142 cases with HTS admitted to our hospital emergency center were randomly divided into control group and observation group 71 cases. The control group took Active fluid resuscitation for treatment, and observation group adopted Limited fluid resuscitation. In order to compare and analysis the effect’s different between two groups, took both groups of patients’ transfusion, blood transfusion, base excess(BE) values, hemoglobin(HBG), platelet count(PLT), prothrombin time(PT) and partial thromboplastin time(APTT), mortality as investigated indicators. Results Through different methods of treatment, the observation group’s transfusion, BE values, PT and APTT values, mortality were significantly lower than the control group, the difference was significant. Besides, the observation group’s PLT value, HBG values were significantly higher than the control group, it’s also had a significant difference. Conclusion The limited fluid resuscitation for patients with Hemorrhagic Traumatic Shock treatment, which can effectively improve the prognosis and reduce mortality wounded, worthy of further research and applications.更多还原