创伤失血性休克患者早期液体复苏的研究进展  

Research progress in early fluid resuscitation in patients with traumatic hemorrhagic shock

作　　者：董喜乐 耿仕涛 祝鑫 姜应波[1] DONG Xile;GENG Shitao;ZHU Xin;JIANG Yingbo(Department of Emergency,the First Naval Hospital of Southern Theater Command,Zhanjiang,Guangdong,524000,China)

机构地区：[1]中国人民解放军南部战区海军第一医院急诊科,广东湛江524000

出　　处：《临床急诊杂志》2024年第1期44-50,共7页Journal of Clinical Emergency

摘　　要：创伤失血性休克(traumatic hemorrhagic shock,THS)是创伤患者死亡的主要原因,早期控制出血和液体复苏是提高THS患者存活率的关键措施。随着对THS病理生理机制的深入研究,早期液体复苏已经成为共识,复苏策略也在不断改进,然而,在临床实际应用中,THS的早期液体复苏策略仍存在争议。文章对近年来有关THS早期液体复苏治疗进行综述,就液体复苏方法、液体复苏目标血压以及复苏液体的选择等问题,探讨了复苏最佳方式、液体和血压目标。并对近年来新出现的复苏液体和液体复苏辅助疗法进行探讨,为THS患者的早期液体复苏提供参考,对改善预后、提高存活率具有重要意义。Traumatic hemorrhagic shock(THS)is the main cause of death in trauma patients,and early control of hemorrhage and fluid resuscitation are key measures to improve the survival rate of THS patients.With the in-depth study of the pathophysiological mechanisms of THS,early fluid resuscitation has become a consensus,and the resuscitation strategy has been continuously improved,however,the early fluid resuscitation strategy of THS is still controversial in the practical clinical application.This paper reviews the recent years about the early fluid resuscitation treatment of THS,and discuss the optimal way of resuscitation,fluid and blood pressure targets regarding the method of fluid resuscitation,the target blood pressure of fluid resuscitation,and the selection of resuscitation fluid.The newly emerged resuscitation fluids and liquid resuscitation adjuvant therapies in recent years were also discussed to provide reference for early liquid resuscitation in THS patients,which is of great significance for improving prognosis and survival rate.

关 键 词：创伤失血性休克 限制性液体复苏 血压 辅助疗法 

分 类 号：R605.971[医药卫生—急诊医学]