限制性液体复苏对上消化道大出血患者预后的影响  

Clinical application of limited fluid resuscitation in treatment of patients with upper gastrointestinal hemorrhage

作　　者：赵雅彬[1] 王宝玉[1] 

机构地区：[1]郑州大学附属郑州中心医院急诊科,郑州450007

出　　处：《医药论坛杂志》2015年第8期36-38,共3页Journal of Medical Forum

摘　　要：目的探讨限制性液体复苏对上消化道大出血患者预后的影响。方法分析限制性液体复苏对上消化道大出血患者的治疗效果,80例上消化道大出血患者随机分为限制性液体复苏组(A组)40例,非限制性液体复苏组(B组)40例,对比两组患者止血时间、再次出血发生率及死亡率及两组患者Hb、PLT、PT、APTT、乳酸复苏前后数值。结果 A组患者的止血时间短、再次出血发生率低、死亡率低,差异均具有统计学意义(P<0.05);复苏前两组患者的Hb、PLT、PT、APTT、乳酸均无明显差异(P>0.05),复苏后差异均具有统计学意义(P<0.05)。结论限制性液体复苏在上消化道大出血治疗中,明显降低止血时间、再次出血发生率及死亡率。Objective To investigate the role of limited fluid resuscitation in treatment of patients with upper gastrointestinal hemorrhage. Methods Totally 80 patients with upper gastrointestinal hemorrhage were randomly divided into limited fluid resuscitation group（ A group,40 cases） and conventional positive pressure fluid resuscitation group（ B group,40 cases）. The treatment effect and coagulation function,rebleeding incidence and mortality rates were retrospectively analyzed. Results Compared to the conventional positive pressure fluid resuscitation group,limited fluid resuscitation group＇s hemostatic time,rebleeding incidence and mortality rate were all significantly decreased（ P〈0. 05）.Hb、PLT、PT、APTT、lactic acid of the two groups have no significance difference before recovery（ P〉0. 05） and have significance difference after recovery（ P〈0. 05）. Conclusion Limited fluid resuscitation play an important role in treatment of patients with upper gastrointestinal hemorrhage.

关 键 词：上消化道大出血 限制性液体复苏 止血时间 再次出血 死亡率 

分 类 号：R573.2[医药卫生—消化系统]