高渗盐液体复苏治疗失血性休克34例临床分析  

作　　者：李强[1] 吴耀禄[2] 郭峰[2] 梅乐园[2] 白忠学[2] 

机构地区：[1]延安市人民医院普外科,716000 [2]延安大学附属医院普外科

出　　处：《当代医学》2009年第25期55-56,共2页Contemporary Medicine

摘　　要：目的探讨失血性休克高渗盐水早期限制性液体复苏的临床意义。方法分析70例未控制失血性休克的液体复苏方法,比较常规液体组(n=36)与高渗盐限制性液体复苏组(n=34)两种方法的治愈率、死亡率及MODS发生率。结果常规组输液量(3080±504)ml,治愈率72.2%、死亡率27.8%,MODS发生率36.1%;高渗盐水组输液量(1013±320)ml,治愈率91.2%、死亡率8.8%,MODS发生率13.9%,两组间差异有统计学意义(P<0.05)。结论高渗盐水早期限制性液体复苏可提高治愈率,降低MODS发生率。Objective To investigate the clinical meaning of fluid resuscitation with hypertonic saline in treatment of hemorrhagic shock. methods 70 patients were analyzed and compared cure rate,mortality rate and incidence of MODS between regular fluid resuscitation group（n=36） and hypertonic saline group（n=34）. Results Average transfusion quantities of regular fluid resuscitation group were（3080±504）ml. Cure rate was 72.2%,mortality rate was27.8%, incidence of MODS was 36.1%. Average transfusion quantities of limited fluid resuscitation group were（1013±320） ml. Cure rate was91.2 %, mortality rate was 8.8%, incidence of MODS was 13.9%. here was statistically significant different of survival rate, mortality rate and MODS rate between the two groups （P〈0.05）. Conclusion Limited fluid resuscitation with hypertonic saline treatment on hemorrhagic shock can improve cure rate reduce the incidence of DODS.

关 键 词：失血性休克 限制性液体复苏 高渗盐 

分 类 号：R459.7[医药卫生—急诊医学]