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目的:评价限制性液体复苏治疗创伤失血性休克的效果。方法:将2011年1月至2012年12月我科收治的创伤失血性休克患者120例随机分为常规组和研究组各60例,分别按常规液体复苏和限制性液体复苏治疗,常规组使收缩压(SBP)维持在90-110 mmHg,研究组SBP维持在70-90 mmHg;比较两组红细胞压积、血清乳酸水平、剩余碱、输入液体量和24 h死亡率。结果:研究组血清乳酸水平、剩余碱、输入液体量、病死率均明显优于常规组(P<0.05)。结论:在创伤失血性休克治疗中,限制性液体复苏既可维持重要脏器的血流灌注,又能减轻酸中毒、降低病死率。
Objective: To evaluate the effect of restrictive fluid resuscitation on traumatic hemorrhagic shock. Methods: From January 2011 to December 2012, 120 patients with traumatic hemorrhagic shock admitted to our department were randomly divided into routine and study groups of 60 cases, respectively, according to conventional liquid resuscitation and restrictive fluid resuscitation, conventional group The systolic blood pressure (SBP) was maintained at 90-110 mmHg and the SBP was maintained at 70-90 mmHg in the study group. The hematocrit, serum lactate level, residual alkali, input fluid volume and 24 h mortality were compared between the two groups. Results: Serum lactate level, residual alkali, input fluid volume and mortality were significantly higher in the study group than those in the conventional group (P <0.05). Conclusion: In the treatment of traumatic hemorrhagic shock, restrictive fluid resuscitation can not only maintain the blood perfusion of vital organs, but also reduce the acidosis and reduce the mortality.