限制性补液在肺挫伤伴失血性休克中的应用效果  

Effect of restrictive fluid infusion in the pulmonary contusion patients with haemorrhagic shock

作　　者：古孜丽努尔.吐尼亚孜[1] 余泽鸿[1] 阿伊提拉汗.艾力[1] 

机构地区：[1]新疆医科大学第二附属医院急救中心,新疆乌鲁木齐830063

出　　处：《现代预防医学》2012年第18期4878-4880,共3页Modern Preventive Medicine

摘　　要：目的探讨限制性补液在肺挫伤伴失血性休克中的应用效果。方法 2009年1月～2011年1月,某院急诊科收治的肺挫伤伴失血性休克患者62例,依据入院顺序随机分为2组,观察组33例,对照组29例。2组患者均予常规基础治疗,对照组采取充分补液方式,观察组采取限制性补液方式,评价2组临床疗效及预后。结果观察组平均输液量、治疗后平均动脉压(MAP)、中心静脉压(CVP)均低于对照组;观察组治疗后凝血功能、动脉血气分析结果改善均优于对照组;观察组脱机时间明显短于对照组,ARDS及MODS发生率、死亡率等低于对照组。结论限制性补液应用于肺挫伤伴失血性休克,可显著改善凝血功能、缓解低氧血症及酸中毒,缩短脱机时间,降低ARDS、MODS发生率及死亡率,值得临床深入研究。OBJECTIVE To explore the effect of limited fluid resuscitation on pulmonary contusion complicated with hemor- rhagic shock. METHODS From Jan. 2009 to Jan. 2011, 62 cases of patients in the emergency with pulmonary contusion com- plicated with hemorrhagic shock were divided into two groups according to the hospitalized sequence. The observation group in- cluded 33 cases, and the control group included 29 cases. Both groups received routine treatment. The control group received abundant fluid resuscitation and the observation group received limited fluid resuscitation. The clinical effect and prognosis of the two groups were evaluated. RESULTS The mean Infusion, MAP and CVP in the observation group were significantly lower than that in the control group. The improvement condition of coagulation function and arterial blood gas analysis in the observation group were better than that in the control group. The time of getting off the breathing apparatus in the observation group were sig- nificantly shorter than that in the control group, and the rates of ARDS, MODS and mortality in the observation group were sig- nificantly lower than that in the control group. CONCLUSION The method of limited fluid resuscitation on pulmonary contusion complicated with hemorrhagic shock can obviously improve the coagulation function, remit hyoxemia and acidosis, shorten the time of getting off the breathing apparatus, and reduce the rates of ARDS, MODS and mortality. It＇s worth of having intensive research.

关 键 词：限制性补液 肺挫伤 失血性休克 

分 类 号：R441.9[医药卫生—诊断学]