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目的探讨不同液体复苏方式在骨盆骨折伴创伤失血性休克患者抢救中的应用效果。方法选取2012年3月至2014年3月急诊科收治的80例骨盆骨折伴创伤失血性休克患者作为研究对象,将其采用随机数字表法分为两组,每组40例。对照组患者给予常规液体复苏处理,观察组患者则应用限制性液体复苏方案,比较并观察两组患者的抢救效果。结果观察组患者ARDS、MODS发病率及病死率、ISS评分均明显低于对照组;且观察组患者抢救成功率、实验室各指标复常率明显高于对照组,差异均有统计学意义(均P<0.05)。结论在骨盆骨折伴创伤失血性休克患者的临床急救中,采用限制性液体复苏方案,抢救成功率高,患者复苏时间快,并发症发生率低。
Objective To investigate the effect of different liquid resuscitation methods in the treatment of patients with pelvic fracture and traumatic hemorrhagic shock. Methods Eighty patients with pelvic fracture and traumatic hemorrhagic shock who were admitted to the emergency department from March 2012 to March 2014 were selected as the study subjects. They were divided into two groups (n = 40) by random number table. Patients in the control group were given conventional liquid resuscitation, and patients in the observation group were treated with the regimen of liquid resuscitation. The rescue effect was compared and observed between the two groups. Results The morbidity and mortality of ARDS and MODS in the observation group were significantly lower than those in the control group. The success rate of rescue in the observation group was significantly higher than that in the control group (P <0.05), the difference was statistically significant ( All P <0.05). Conclusions In clinical emergency treatment of patients with pelvic fracture and traumatic hemorrhagic shock, the restrictive liquid resuscitation protocol has a high success rate of resuscitation, rapid recovery time and low complication rate.