不同液体复苏策略对严重骨盆骨折预后的影响  

Curative effect of different liquid resuscitation strategies on the prognosis of serious pelvic fracture

作　　者：陈自力[1] 黄强[1] 王良馥[1] 毛洪涛[1] 李修江[1] 

机构地区：[1]解放军九四医院急诊中心,江西南昌330002

出　　处：《创伤外科杂志》2008年第5期431-432,439,共3页Journal of Traumatic Surgery

摘　　要：目的探讨严重骨盆骨折合并活动性出血的液体复苏方法。方法分析我院近年救治的C型骨盆骨折合并休克的病例83例,分成常规快速液体复苏组和控制液体复苏组,比较两组24小时输血总量、死亡率、MODS发生率、凝血功能的变化。结果控制液体复苏组24小时总输血量、MODS发生率、死亡率明显低于快速液体复苏组(P<0.05),凝血指标的变化明显小于快速液体复苏组(P<0.05)。结论严重骨盆骨折合并失血性休克,在出血未得到有效控制前,控制液体复苏可以有效提高抢救成功率,降低输血总量,减少并发症。Objective To discuss the liquid resuscitation strategies of serious pelvic fracture combined with hemorrhagic shock. Methods Eighty-three patients with C type pelvic fracture combined with hemorrhagic shock were admitted into our hospital, and divided into regular fast liquid resuscitation group and controlled liquid resuscitation group. The total blood transfusion within 24 hours,mortality,incidence of MODS,coagulation index changes of the two groups were compared. Results The total blood transfusioh within 24 hours,mortality,incidence of MODS, coagulation index changes in the controlled liquid resuscitation group were remarkably lower than those in the regular fast liquid resuscitation group （ P 〈 0. 05）Conclusion For patients with serious pelvic fracture combined with hemorrhagic shock, before their bleeding control ,the liquid resuscitation control can effectively increase the successful rescue rate, decrease the total blood transfusion and reduce complications.

关 键 词：骨盆骨折 失血性休克 液体复苏 

分 类 号：R681.6[医药卫生—骨科学]