乳酸清除率指导多发伤失血性休克液体复苏治疗研究  

作　　者：章柏平[1] 郭剑[1] 

机构地区：[1]江西省鹰潭市解放军184医院急诊科,江西鹰潭335000

出　　处：《世界中医药》2016年第B03期567-568,共2页World Chinese Medicine

摘　　要：目的探讨乳酸清除率指导多发伤失血性休克液体复苏治疗的临床应用价值。方法：选取多发伤失血性休克患者50例，对照组患者在实施液体复苏治疗的过程中使用传统的中心静脉压、平均动脉压指标进行指导；观察组在此基础上，还要求其乳酸清除率达到10％以上。对比两组的效果。结果：观察组患者器官功能障碍发生率均显著低于对照组，住院时间短于对照组，而24 h输入液体总量、2 h后复苏达标率显著高于对照组患者（P〈0．05）。结论：结合乳酸清除率对多发伤失血性休克患者的液体复苏治疗进行指导，复苏效果好，值得临床推广应用。Objective： To investigate the lactate clearance rate guide multiple trauma hemorrhagic shock resuscitation clinical value. Methods：2014 March to 2015 admitted in our department between March of multiple trauma hemorrhagic shock patients 50 cases as the object. The control group patients in the imple-mentation process of fluid resuscitation in treatment using traditional central venous pressure, mean arterial pressure indicators to guide and contrast effect. Re- sults： in the observation group, incidence of organ dysfunction were significantly lower than the control group, the hospitalization time is shorter than the control group, and 24h input fluid volume, 2h after resuscitation rate significantly higher than the control group （P〈0.05）. Conclusion： the combination of lactate clearance rate in multiple trauma hemorrhagic shock resuscitation in the treatment of patients with guidance, the recovery effect is good, worthy of clinical application.

关 键 词：乳酸清除率 多发伤失血性休克 复苏治疗 

分 类 号：R541.6[医药卫生—心血管疾病]