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目的评价限制性液体复苏在产科失血性休克中的治疗作用,以减少产妇并发症,提高生存率。方法回顾性总结2008年1月~2010年9月我院产科收治的失血性休克48例,应用限制性液体复苏新疗法进行救治,并针对病因、尽早手术治疗,有效控制出血。结果 48例产科失血性休克患者,经采用限制性液体复苏新疗法进行救治,并针对病因、迅速止血,均抢救成功。结论限制性液体复苏能避免过分扰乱机体代偿机制和内环境,改善脏器灌注和氧供,降低产后出血量,降低并发症发生,改善愈后。
Objective To evaluate the therapeutic effect of restrictive fluid resuscitation in obstetric hemorrhagic shock to reduce the maternal complications and improve the survival rate. Methods From January 2008 to September 2010, 48 cases of hemorrhagic shock admitted to obstetrics and gynecology department in our hospital were retrospectively reviewed. Restrictive liquid resuscitation was used to treat hemorrhagic shock. Efforts were made to treat the cause as soon as possible and to control the bleeding effectively. Results 48 cases of obstetric hemorrhagic shock patients, the use of limited liquid resuscitation therapy for new treatment, and for the cause of rapid hemostasis were rescued. Conclusion Restrictive fluid resuscitation can avoid excessive disruption of the body compensatory mechanism and internal environment, improve organ perfusion and oxygen supply, reduce postpartum hemorrhage, reduce complications and improve prognosis.