多发伤早期休克的急救复苏策略分析  

作　　者：王树泉[1] 王菊花 何鑫 

机构地区：[1]四川省广元市中心医院急诊科,四川广元628000

出　　处：《中国药业》2018年第A01期13-14,共2页China Pharmaceuticals

摘　　要：目的评估多发伤早期休克患者的急救复苏策略及有效性。方法回顾性分析医院2016年1月至2017年12月收治的120例多发伤休克患者,依照临床治疗方案的不同分为观察组和对照组,各60例。观察组采用损伤控制理念融入下的急救复苏策略,对照组给予常规复苏方案。结果观察组总有效率为93.33%,显著高于对照组的78.33%,且术后并发症发生率明显低于对照组(P<0.05)。结论与常规液体复苏相比,损伤控制复苏策略下的急救复苏用于复发伤早期休克更有效,并发症发生率更低。Objective To evaluate the strategy and effectiveness of first-aid resuscitation in shock patients with multiple injuries.Methods Totally 120 patients with multiple traumatic shock treated in our hospital from January 2016 to December 2017 were retrospectively analyzed.According to the difference of clinical treatment,they were divided into the observation group and the control group,60 cases in each group.The observation group adopted the first-aid resuscitation strategy with the idea of injury control,while the control group received the routine resuscitation plan.Results The total effective rate of the observation group was 93.33%,which was significantly higher than 78.33%in the control group(P<0.05).The incidence rate of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Compared with conventional fluid resuscitation,the first-aid resuscitation under injury control resuscitation strategy is more effective and the incidence rate of complications is lower.

关 键 词：多发伤 早期休克 损伤控制复苏策略 常规复苏 急救复苏 

分 类 号：R473.6[医药卫生—护理学]