限制性液体复苏治疗颅脑损伤并低血容量性休克的疗效评价  

Therapeutic effect assessment of limited fluid resuscitation on craniocerebral injury combined with hypovolemic shock

作　　者：刘宇[1] 胡达聪[1] 张天卿[1] 毛青[2] 

机构地区：[1]浙江省慈溪市人民医院ICU,浙江慈溪315300 [2]上海交通大学医学院附属仁济医院神经外科,上海200127

出　　处：《中国现代医生》2013年第10期21-22,共2页China Modern Doctor

基　　金：国家自然科学基金(81071542)

摘　　要：目的研究限制性液体复苏对颅脑损伤并低血容量性休克的治疗效果。方法将2009～2011年间我院收治的86例颅脑损伤并低血容量性休克的患者随机分为实验组和对照组,对照组使用常规大量液体复苏,实验组使用限制性液体复苏,对两组患者复苏效果进行比较。结果实验组患者复苏输液量及输红细胞量显著少于对照组(P<0.05)。实验组死亡率、ARDS、MODS发生率显著低于对照组(P<0.05),而疗效良好率显著高于对照组(P<0.05)。结论限制性液体复苏能降低死亡率,改善远期预后,对颅脑损伤并低血容量性休克患者有较好疗效。Objective To research the effect of limited fluid resuscitation on craniocerebral injury combined with hy povolemic shock.Methods The 86 patients during 2009-2011 were divided into experimental group and control group randomly.The control group was treated with traditional resuscitation while the experimental group was treated with limited resuscitation.Results The fluid and erythrocyte was used significantly less in experimental group than in con trol group（P〈0.05）.The fatality rate and the incidence rate of ARDS and MODS of experimental group was signifi cantly lower than the control group（P〈0.05）.The experimental group had a higher well-recovered rate than control group（P〈0.05）.Conclusion The limited fluid resuscitation reduces fatality and complication rate and is effective for craniocerebral injury combined with hypovolemic shock.

关 键 词：限制性液体复苏 颅脑损伤 低血容量性休克 

分 类 号：R651.15[医药卫生—外科学]