“小容量复苏”对创伤失血性休克复苏成功率、输液量和时间的影响  

Treatment by hyperbaric oxygen in fat embolism syndrome after trauma

作　　者：李政军[1] 邢向娈[1] 黄琳[1] 

机构地区：[1]宁夏自治区人民医院急诊科,宁夏银川750021

出　　处：《宁夏医学杂志》2012年第6期517-518,共2页Ningxia Medical Journal

摘　　要：目的观察"小容量复苏"对创伤失血性休克复苏成功率、输液量和时间的影响,探讨"小容量复苏"的治疗效果。方法对220例创伤失血性休克患者分别用小容量复苏液(治疗组)和常规液体复苏(对照组)进行临床研究。结果小容量复苏液在纠正失血性休克时的复苏成功率高于对照组(P<0.05),所需输液量明显少于对照组(P<0.01),可显著缩短纠正休克所用时间(P<0.01)。结论 "小容量复苏"对创伤失血性休克早期复苏具有作用早、速度快、维持血压平稳且用量小等优点。Objective To investigate the effect of hyperbaric oxygen （HBO） combined with methylprednisolone （MP） in trea- ting fat embolism syndrome （FES） after trauma. Methods From 129 cases with FES,the 26 cases treated with HBO and large doses of MP were the treatment group, and the 41 cases treated with small doses of MP were the control group. Comparing healing time,length of stay and duration between two groups. Results The data showed that the cure rate of treatment group was higher than control group （ P 〈 0.05 ）. And the length of stay of treatment group was shorter than control group （ P 〈 0.05 ）. Though , there was no significant differ- ence in duration from unconscious to the conscious between two groups （ p 〉 0.05）. Conclusion HBO combined with MP is an effec- tive method in the treatment of FES.

关 键 词：创伤 失血性休克 小容量复苏 急救 

分 类 号：R459.7[医药卫生—急诊医学]