创伤失血性休克是急诊科常见的临床危急综合征,其救治原则是尽快经静脉补充液体进行复苏,目的是迅速恢复有效循环血量,维持重要器官的血灌注。然而,近1 0年大量的研究表明,在休克活动性出血控制前积极、大量的液体复苏可能会增加出血量,严重扰乱机体内环境、增加死亡率和并发症 Traumatic hemorrhagic shock is a common emergency clinical emergency clinical syndrome, the principle of its treatment as soon as possible by intravenous fluid replenishment, the purpose is to quickly restore effective circulating blood volume, maintaining vital blood perfusion. However, a large number of studies in the recent 10 years have shown that positive and substantial liquid resuscitation before shock active bleeding may increase the amount of bleeding, severely disrupt the body environment, increase mortality and complications