创伤失血性休克限制性液体复苏的临床探讨

目的：探讨液体复苏对创伤失血性休克患者的救治效果.方法：回顾性总结2001-01～2005-09我院急诊科187例严重创伤失血性休克患者早期液体复苏,不同方法对创伤失血性休克救治效果的关系及对相关实验室指标的影响.结果：187例创伤性休克患者中,充分液体复苏组病死率和存活病例并发症发生率均高于限制液体复苏组（P〈0.05）,而实验室指标Hgb、PC及Hct显著低于限制液体复苏组.结论：限制性液体复苏能降低严重创伤性休克患者病死率,并降低术后并发症的发生率,改善预后.

Clinical Discussion of Limited Fluid Resuscitation on Traumatic Hemorrhagic Shock

Objective:To investigate the effect of fluid resuscitation in treatment of patients with severe traumatic hemorrhagic shock.Methods:187 cases of patients with severe hemorrhagic traumatic shock treated in our department between Jan.2001 and Sep.2005 were analysed retrospectively,and the relationship between different fluid resuscitation methods and hemorrhagic traumatic shock was summarised.Results:The traumatic mortality and the rate of complication in survival cases in adequate resuscitation group were higher than those of limited resuscitation group(P<0.05).The levels of Hgb,PC and Hct of adequate resuscitation group were significantly lower than those of limited resuscitation group.Conclusion:Limited fluid resuscitation can reduce the mortality of severe hemorrhagic traumatic shock,and reduce the total complication in survival cases.