早期限制性液体复苏在重型颅脑损伤合并失血性休克疗效观察  

作　　者：刘维政[1] 高振和[1] 陶江[1] 

机构地区：[1]广东省佛山市中医院急诊科,广东佛山528000

出　　处：《临床医药实践》2010年第2X期201-203,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨早期限制性液体复苏方法在重型颅脑损伤合并失血性休克疗效。方法:将我科2008年7月～2009年8月所接诊的168例重型颅脑损伤合并创伤性失血性休克患者按照就诊先后顺序编号随机分为治疗组及对照组,分别采用限制性液体复苏及常规液体复苏两种方法进行复苏治疗,对两组的治愈率与死亡率进行统计学分析比较,评价两种复苏方法疗效情况。结果:限制性液体复苏组平均输液量为(1865±324)mL,治愈率为54.8%,死亡率为45.2%;常规液体复苏组平均输液量为(2638±656)mL,治愈率为42.6%,死亡率为57.4%,两组比较差异有统计学意义(P<0.05)。结论:早期限制性液体复苏对重型颅脑损伤合并失血性休克可以提高治愈率,减少死亡率。Objective:To explore the effect of early limited fluid resuscitation on gravis craniocerebral injury accompanied wit h hemorrhagic shock. Methods:One hundred and sixty-eight patients with gravis craniocerebral injury accompanied wit h hemorrhagic shock that we cured in Emergency Department were randomly divided into two groups(therapy group and control group) according to the successive order of visit,we cured the patients by early limited fluid resuscitation and common fluid resuscitation dividely,analyzing the recovery rate and death rate of the two groups by statistics software,and evaluating the effect of the two methods.Results:In the therapy group cured by early limited fluid resuscitation,the average quantity of fluid injected to the body was(1865±324) mL,the recovery rate was54.8% and the death rate was45.2%;In the control group cured by common fluid resuscitation,the average quantity of fluid injected to the body was 2638 ±656mL,the recovery rate was42.6% and the death rate was57.4%.From the results of the analysis with statistics software,we know that the odds of the effect of the two methods used to cure the patients from the two groups is significant(P<0.05) .Conclusion:Early limited fluid resuscitation can elevate the recovery rate and reduce the death rate on gravis craniocerebral injury accompanied wit h hemorrhagic shock.

关 键 词：重型颅脑损伤 失血性休克 早期限制性液体复苏 常规液体复苏 疗效 

分 类 号：R651.1[医药卫生—外科学]